Kentucky Licensed Utilization Review LPN-Social Worker
Company: VirtualVocations
Location: Saginaw
Posted on: March 12, 2025
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Job Description:
A company is looking for a Utilization Review LPN or Social
Worker.
Key Responsibilities:
Conduct utilization management reviews using the medical management
system, following departmental policies and procedures
Review medical necessity, appropriateness, and efficiency of
healthcare services based on clinical guidelines
Collaborate with healthcare providers and members to ensure quality
care and appropriate service utilization
Required Qualifications:
Must have an active Kentucky (KY) license as an RN, LPN, or Social
Worker
Previous experience in utilization management, case management, or
medical review preferred
Strong understanding of medical terminology, clinical guidelines,
and healthcare regulations
Proficiency with electronic medical management systems and
documentation
Keywords: VirtualVocations, Saginaw , Kentucky Licensed Utilization Review LPN-Social Worker, Healthcare , Saginaw, Michigan
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