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Kelsey-Seybold Licensed Vocational Nurse - Utilization Review in Pearland, Texas

Kelsey-Seybold Clinic, a Houston tradition in patient-centered care, is a multispecialty clinic with over 25 locations and comprises more than 500 physicians providing primary and specialty care in a collaborative manner.

With 55 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.

Kelsey-Seybold Clinic is changing the way health cares.

The Utilization Review LVN nurse will perform documentation review for medical necessity and benefit correlation of requested medical and surgical procedures, services and admissions for HMO, PPO and POS products. The UR LVN nurse will serve as facilitator of communication with clinic, payor and other customers.

Licensed Vocational Nurse - Utilization Review

Location: Pearland Administrative Office

Department: Utilization Management

Job Type: Full Time

EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

(A = basics; B = preferred)

Education

A.

Licensed Vocational Nurse, CEU requirement.

B.

Experience

A.

Two years utilization review experience at heath plan, ACO, IPA, or provider group OR 3-5 years diverse clinical experience, including acute care or similar care.

B.

Computer and Coding experience.

Licenses

A.

TX LVN license, Valid Driver’s license

B.

Special Skills

A.

Good organization and communication skills.

B.

Other

A.

HMO, PPO and POS insurance knowledge.

B.

WORKING ENVIRONMENT

Office

ID: 2021-26095

External Company URL: www.kelsey-seybold.com

Street: 11511 Shadow Creek Pkwy

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