Faith Stout

LPN / RN Medical Management Clinician HealthCare Support is actively seeking a LPN / RN Medical Management Clinician to fill an opening in Washington. Daily Responsibilities for LPN / RN Medical Management Clinician:

• Will be supporting the Washington health plan with UM
• Responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies.
• May collaborate with healthcare providers.
• Focuses on relatively complex case types that do not require the training or skill of a registered nurse.
•  Monday to Friday 8:00am-5:00pm PST / Remote

Required Qualifications for LPN / RN Medical Management Clinician:

• High school diploma or GED
• Compact LPN or RN license in state they sit in 
• 6 years of clinical experience and/or utilization review experience
• Must have 1 year of MCO UM experience
• Must be familiar with completing medical necessity reviews and using medical policies and clinical guidelines to complete reviews.

 Benefits for LPN / RN Medical Management Clinician:

• 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: $35.56 - $47.41/ 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.