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California Licensed LVN Auditor
A company is looking for an LVN, UM Delegation Oversight - Remote. Key Responsibilities Prepare and submit pre-audit documentation as outlined on Health Plan audit tools Communicate with Health Plan auditors regarding audit documents and processes Conduct comprehensive internal audits of the end-to-end utilization management process Required Qualifications Graduation from an accredited Licensed Vocational/Practical Nurse program or completion of a vocational nursing program through the CA Board of Nursing Current LVN/LPN license 2+ years of clinical experience working as an LVN/LPN 1+ years of utilization management experience, especially in Prior Authorization
A company is looking for an LVN, UM Delegation Oversight - Remote.
Key Responsibilities
Prepare and submit pre-audit documentation as outlined on Health Plan audit tools
Communicate with Health Plan auditors regarding audit documents and processes
Conduct comprehensive internal audits of the end-to-end utilization management process
Required Qualifications
Graduation from an accredited Licensed Vocational/Practical Nurse program or completion of a vocational nursing program through the CA Board of Nursing
Current LVN/LPN license
2+ years of clinical experience working as an LVN/LPN
1+ years of utilization management experience, especially in Prior Authorization