LPN Utilization Management Coordinator
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Utilization Management Coordinator
(Home-Based) - Prior Authorization.
Key Responsibilities
Monitor resource utilization, risk management, and quality of care
for patients
Obtain and maintain documentation for services in line with
reimbursement agency guidelines
Input collected data into systems for insurance communication and
ensure medical necessity during patient hospitalization
Required Qualifications
Seven years of relevant experience with a minimum of one year in
healthcare or clinical settings
Currently holds an unencumbered Licensed Practical Nurse (LPN)
license or Registered Health Information Technician (RHIT)
certification
Experience in healthcare reimbursement, insurance industry, and/or
authorization preferred
Possesses relevant coding certifications such as CCS, CCS-P, CPC,
CPC-H, COC, or CAC
Appropriate education level as required by licensure
Keywords: VirtualVocations, Bellflower , LPN Utilization Management Coordinator, Healthcare , Vista, California
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