LVN - Utilization Review - Remote within San Diego County
About the position
Responsibilities
• Review and manage assigned cases for members enrolled in Scripps Clinic Health Plan Services.
• Determine medical necessity for services requested.
• Assess benefit determination and eligibility for services.
• Manage multiple tasks within regulatory agency time frames.
Requirements
• Current California LVN license.
• Three years of recent clinical experience in various settings.
• Managed Care experience is strongly recommended.
• Graduate of an accredited LVN or RN Program.
Nice-to-haves
• Previous experience in Utilization Management (UM), Quality Improvement (QI), Discharge Planning, or Case Management.
Benefits
• Comprehensive health and wellness benefits.
• Career development opportunities.
• Retirement options.
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