HSCSN Utilization Review LPN

Health Services for Children with Special Needs (HSCSN)
Washington, DC
Job Description
Responsible for preauthorization initial and concurrent review of inpatient, behavioral health, home health care services and clinical review of pediatric and young adult members. Manage resources and achieve desired outcomes for members with ongoing communication to management staff.

Requirements

  • High School Diploma or GED
  • 2 years in utilization management in a managed care environment
  • Licensed Practical Nurse (LPN) in the District of Columbia
  • Certification in utilization review
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