Lvn - Quality Assurance/utilization Review - Business Development - Full Time 8hr

Emanate Health Foothill Presbyterian Hospital

Covina, CA, US
Base: $31.03 - $46.54 ph; bonus/equity: not specif...
Medical necessity evaluation
Clinical judgment application
Utilization review processes
Everyone at Emanate Health plays a vital role in the care we deliver and affects lives across departments

Job Summary

  • Everyone at Emanate Health plays a vital role in the care we deliver and affects lives across departments.
  • The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and appropriate policies.
  • Emanate Health was named the #1 ranked health care system in the United States on Glassdoor's Best Places to Work in 2021.

Matching Summary

Everyone at Emanate Health plays a vital role in the care we deliver and affects lives across departments.

Salary

Base: $31.03 - $46.54 per hour; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • medical necessity evaluation
  • clinical judgment application
  • utilization review processes
  • customer service skills
  • computer proficiency

Nice-to-have

  • team collaboration
  • quality-related experience
  • support medical claims review

Key Requirements

  • Minimum of three years utilization management experience
  • Current California LVN license

Work Rights

Not specified

Tailored Resume

Cover Letter