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Utilization Management LPN/LVN

Company: The Judge Group
Location: Atlanta
Posted on: November 18, 2023

Job Description:

Location: REMOTE
Salary: $26.00 USD Hourly - $30.00 USD Hourly
Description: Our client is currently seeking a REMOTE Utilization Management LPN/LVN -*REMOTE ANYWHERE - BUT MUST HAVE CA LPN LICENCES* - - Schedule:Monday-Friday, 8am-5pm PST This job will have the following responsibilities:

  • In collaboration with the Manager of Delegation Oversight, manages delegation oversight and regulatory audits. -
  • Leverages knowledge of clinical services regulatory and delegation requirements to represent Optum Clinical Services appropriately while managing delegation oversight audits -
  • Serves as a liaison between Health Plan delegated entities and Clinical Services Operational teams (Utilization Management and Case Management) -
  • Serves as a liaison between Delegation Oversight and cross-functional areas/departments across the organization -
  • Uses, protects, and discloses Optum patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Qualifications & Requirements:
    • 3+ years of clinical experience working as an LVN/LPN
    • 2+ years of care management, utilization review (prior authorization) or discharge planning experience -IF interested, please apply directly or reach out to one of my contact methods below ASAPEMAIL: mthum@judge.comPHONE/TXT: (484) 753-3515
      This job and many more are available through The Judge Group. Find us on the web at

Keywords: The Judge Group, Atlanta , Utilization Management LPN/LVN, Healthcare , Atlanta, Georgia

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