HSCSN Utilization Review LPN

Health Services for Children with Special Needs
Washington, DC
Category Operations
Job Description
Responsible for preauthorization and clinical review of healthcare services, managing resources and achieving desired outcomes for members.

Requirements

  • High School Diploma or GED
  • 2 years in utilization management in a managed care environment
  • 5 years of sound medical/surgical, home health care, pediatric and/or behavioral health experience
  • Licensed Practical Nurse (LPN) in the District of Columbia
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