Utilization Management LVN
About The Position
Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as a Utilization Department Lead, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes.
Requirements
- California State Licensed Vocational Nurse
- A high school diploma or general education degree (GED)
- Possesses and utilizes excellent customer service skills, strong public relations skills, and exceptional written and verbal communications skills.
- Must be detail-oriented and organized, possess clerical skills, and have the ability to interact effectively with doctors, referring doctors and staff, patients, vendors, peers, and management
Nice To Haves
- 2 years of UM or medical job related experience preferred.
- Experience of working with Microsoft excel, office and word is preferred.
Responsibilities
- Creates edits or cancels new or current patient orders, and notifies staff of changes when necessary.
- Enters accurate information in the system for appointment scheduling, rescheduling, cancellation and comment entry.
- Works closely with referring physicians’ staff to obtain patient notes and begin process of authorizations.
- Communicates and interacts with all departments effectively and professionally.
- Ensures accurate, timely, and thorough documentation and completion of all necessary paperwork, according to established standards.
- Follows all HIPAA, compliance, privacy and confidentiality standards.
- Maintains patient confidentiality at all times.
- Contacts medical groups and offices as needed to obtain information needed to complete cases
- Imports referrals and patient paperwork into eRAD RIS.
- Completes all paperwork in a timely and accurate manner.
Benefits
- Comprehensive Medical, Dental and Vision coverages.
- Health Savings Accounts with employer funding.
- Wellness dollars
- 401(k) Employer Match
- Free services at any of our imaging centers for you and your immediate family.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
