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Care Review Clinician

Location : Louisville, KY
Job Type : Contract
Reference Code : 14938
Hours : Full Time
Required Years of Experience : 2
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - LPNs & LVNs

Job Description :

We are looking for a LVN/LPN Care Review Clinician in Louisville, KY. For these positions you must have an active Kentucky/Compact unrestricted license to qualify for these positions. You must be located in Kentucky or Indiana to qualify for these positions. These are full time remote positions!




Job Duties: Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.

Required Experience: Minimum 2 years of General/Med Surg experience required. Preferably hospital nursing Utilization Management experience is a plus.



Required Licensure/Certification: Active, unrestricted State Nursing LPN/LVN license in good standing.


For immediate consideration please email sroper@mednationalstaffing.com.


Required Qualifications :

Required Experience: Minimum 2 years of General/Med Surg experience required. Preferably hospital nursing Utilization Management experience is a plus.



Required Licensure/Certification: Active, unrestricted State Nursing LPN/LVN license in good standing.


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