Quality Management Nurse Associate LPN
About the position
Responsibilities
• Review and approve pre-service post-acute denial correspondence.
• Collaborate with RNs and Medical Directors on denial letter language.
• Ensure compliance with CMS requirements for denial letters.
• Identify needs for standard denial language and suggest options to close gaps.
Requirements
• Active current and unrestricted LPN/LVN licensure in state of residence.
• 3+ years of clinical experience.
• 3+ years of experience using personal computer and MS Office Suite applications.
• 1+ year of Medicare experience.
Nice-to-haves
• Managed care experience
• Leadership experience
• Utilization Management, Precertification or Quality Management experience.
Benefits
• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Fully-paid term life insurance
• Short-term and long-term disability benefits
• Well-being programs
• Education assistance
• Free development courses
• CVS store discount
• Paid Time Off (PTO)
• Paid holidays
Apply Now
Apply Now
Responsibilities
• Review and approve pre-service post-acute denial correspondence.
• Collaborate with RNs and Medical Directors on denial letter language.
• Ensure compliance with CMS requirements for denial letters.
• Identify needs for standard denial language and suggest options to close gaps.
Requirements
• Active current and unrestricted LPN/LVN licensure in state of residence.
• 3+ years of clinical experience.
• 3+ years of experience using personal computer and MS Office Suite applications.
• 1+ year of Medicare experience.
Nice-to-haves
• Managed care experience
• Leadership experience
• Utilization Management, Precertification or Quality Management experience.
Benefits
• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Fully-paid term life insurance
• Short-term and long-term disability benefits
• Well-being programs
• Education assistance
• Free development courses
• CVS store discount
• Paid Time Off (PTO)
• Paid holidays
Apply Now
Apply Now