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)
Licensed Vocational Nurse, CEU requirement.
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.
Computer and Coding experience.
TX LVN license, Valid Driver’s license
Good organization and communication skills.
HMO, PPO and POS insurance knowledge.
External Company URL: www.kelsey-seybold.com
Street: 11511 Shadow Creek Pkwy