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Utilizat Review-LPN

Company: Novant Health
Location: Winston Salem
Posted on: October 13, 2019

Job Description:

Overview
The Utilization Review LPN coordinates and conducts initial, concurrent and retrospective medical necessity reviews. They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance. All Utilization Review activities are performed in accordance with the current policies and procedures, mission, vision, and values of Novant Health.

Qualifications

  • Education: High school diploma required. Graduate of an accredited school of practical nursing required.
  • Experience: Two or more years healthcare experience and utilization review or related experience preferred.
  • Licensure/certification/registration: Current LPN licensure in appropriate state required. BLS Healthcare provider by American Heart Association required.
  • Additional skills preferred: Knowledge/competence of Microsoft office products and keyboarding. Broad range of clinical experience. Knowledge of McKesson Interqual criteria.

    Responsibilities
    It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
    • Our team members are part of an environment that fosters team work, team member engagement and community involvement.
    • The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
    • All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of ""First Do No Harm"".

      Company Description:

      Welcome to Novant HealthWe are an integrated system of physician practices, hospitals, outpatient centers, and more --- each element committed to delivering a remarkable healthcare experience for you and your family. With world-class technology, personal connections, and care that---s easier to access and understand, Novant Health is with you every step of the way on your journey to health and wellness.---- --Remarkable care - We are welcoming a new era in healthcare where achieving good health is just the beginning. We believe in caring for the whole person by getting to know you, having conversations and making connections with our patients. Combining the talent and expertise of our people, the breadth of capabilities across our system, and a commitment to helping you get better and stay healthy is how we are making healthcare remarkable. You can read about some of our remarkable moments here.Ease and convenience - Novant Health is there when and where you need us. We are working to make healthcare easy to access, easy to schedule and easy to understand. We are bringing the ease and convenience that you enjoy in other aspects of your lives to the healthcare experience because we believe that healthcare doesn---t have to be confusing, difficult or disconnected. Start taking control of your health by visiting MyChart.--Community wellness - Our promise is to deliver remarkable healthcare. Part of that promi

Keywords: Novant Health, Winston-Salem , Utilizat Review-LPN, Healthcare , Winston Salem, North Carolina

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