Licensed Practical Nurse - Medical Management coordinates with healthcare providers and plan members to maximize member benefits while managing costs. Assesses medical necessity of patient admissions, surgical and diagnostic procedures, and other related services. Being a Licensed Practical Nurse - Medical Management conducts pre-certification or authorization, and monitors compliance with established medical guidelines and policies. May assist members in appeals for denied services. Additionally, Licensed Practical Nurse - Medical Management requires a high school diploma. Typically reports to a registered nurse or supervisor. Requires graduation from approved LPN educational program. Requires a state license to practice. Licensed Practical Nurse - Medical Management's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
Description
Summary/Objective
This is a great opportunity for a Licensed Practical Nurse to work in the PCA Evaluation Department, which is a unique program that makes a truly wonderful difference in the lives of children and adults. You will make your own schedule that are based on the needs of the consumer and do reevaluations and adjustments. You will work with a wide range of disabilities by completing assessments for the MassHealth PCA program.
Monday-Friday 8:30a.m.-4:30p.m. business hours with some flexibility to meet consumer needs.
Suffolk and Middlesex Counties coverage area and up to a 60 mile radius.
Essential Functions
Requirements
Competencies
Preferred Experience
Required Education
Work Environment
Physical Demands
Travel
Work Authorization/Security Clearance
EEO Statement
Equal Employment Opportunity is a fundamental principle at Tempus Unlimited, Inc. where employment from recruiting through the end of employment is based upon professional capabilities and qualifications without discrimination because of race, color, religion, sex, age, sexual orientation, veteran status, national origin, disability or any other characteristic as established by law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
Other Duties
Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
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0 Licensed Practical Nurse - Medical Management jobs found in Brockton, MA area