Massachusetts Licensed Utilization Coordinator
Company: VirtualVocations
Location: Santa Clara
Posted on: February 5, 2025
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Job Description:
A company is looking for a LPN/LVN Utilization Management
Coordinator.
Key Responsibilities:
Conducts timely clinical decision reviews for services requiring
prior authorization
Applies established criteria to determine the medical necessity of
services
Communicates review results and provides decision-making guidance
to clinical teams
Required Qualifications, Training, and Education:
Associate degree
Current MA clinical license in good standing
3+ years of combined clinical and utilization management
experience
Experience in a health plan or with a care management platform is a
strong plus
Must pass the credentialing process
Keywords: VirtualVocations, Rancho Cordova , Massachusetts Licensed Utilization Coordinator, Other , Santa Clara, California
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