Description
Summary:
The LPN Utilization Review effectively communicates with internal and external professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors, to obtain approved certification for services. They critically think for appropriateness of care provided to the patients and competently utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). The LPN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.
Requirements:
- Knowledge of scope and role of the Licensed Practical Nurse, Nursing Assistant, Mental Health Tech, and Unit Clerk.
- Current LPN License Licensed Practical Nurse within the state of Louisiana.
- Current BLS
- De-Escalation Certification completed within 90 days of employment and recertified annually.
Work Schedule:
TBD
Work Type:
Full Time
EEO is the law - click below for more information:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
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