Mark Powers

LVN Utilization Review Remote HealthCare Support is actively seeking a LVN Utilization Review Remote  to fill an opening in Houston, Texas. Daily Responsibilities for LVN Utilization Review Remote:

• Provide support in the development and generation of the UM adverse determination letters. Review of adverse determination letters for accuracy and appropriateness of Medical Director documentation to ensure compliance to all regulatory requirements prior to mailings.
• Monitor letter generation and mailing accuracy of all adverse determination letters to ensure compliance while accurately entering the required information into the managed care platform, adhering to UM policies and procedures.
• Telephonic outreach to providers to obtain additional information as directed by the Medical Director
• Wed-Fri 10-6, Sat/Sun 8-5

Required Qualifications for LVN Utilization Review Remote:

• LVN current Texas License 
• Three years clinical experience in acute setting. and at least 2 years of UR/UM
• Highlight lines of business worked- Texas Medicaid, CHIP, marketplace
• Microsoft Office (Word, Outlook, Excel)

 Benefits for LVN Utilization Review Remote:

• Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (advocacy) Program

Pay Details: $30- $34.62/ Hour Interested in Being Considered? If you are interested in applying to this position, please click Apply Now for immediate consideration. For additional questions, you may contact us at [email protected]. Please include your phone number, Job Title, and location and our recruiters will reach out. Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.