Utilization Review LVN

Global MSO LLC
Corona, CA Full Time
POSTED ON 2/2/2024 CLOSED ON 2/29/2024

Job Posting for Utilization Review LVN at Global MSO LLC

  • Coordinates and reviews all medical records, as assigned to caseload
  • Actively participates in Case Management and Treatment Team meetings
  • Serves as on-going educator to all departments
  • Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting
  • Able to work independently and use sound judgment.
  • Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment.
  • Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families.
  • Performs other duties as assigned.
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Salary.com Estimation for Utilization Review LVN in Corona, CA

$76,263 - $99,560

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Job openings at Global MSO LLC

Global MSO LLC
Hired Organization Address Corona, CA Full Time
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