Utilization Management LVN

WelbeHealth • Los Angeles, CA

1d • $36 - $47

About The Position

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while functioning as both a care provider and care plan to we serve. Our Health Plan Services team plays a critical role in our participants’ journeys, and our Utilization Management team ensures that we provide timely, quality, compliant, and cost-effective care to our participants. The Utilization Management LVN is accountable for the review and audit of authorization requests to ensure services meet standard medical guidelines.

Requirements

• Minimum of one (1) year of chart auditing or UM review experience
• Knowledgeable in areas of Medicare and Medicaid UM regulations
• Unencumbered LVN licensure

Responsibilities

• Chart audits of items including but not limited to consult summaries, imaging results, and procedure summaries to determine if additional follow up services are requested
• Oversee departmental clinical inboxes, email inboxes, and fax queues to ensure appropriate handling of documents and authorization requests
• Identify, document, and correct inconsistencies and gaps in participants’ charts with authorizations in the UM system
• Review prior authorization requests for medical necessity and alignment with participants’ care plans, including routine office visits, procedures, and DME

Benefits

• Apply your clinical expertise in meaningful ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.
• Medical insurance coverage (Medical, Dental, Vision) starting day one of employment
• Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
• Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!
• 401k match
• healthcare coverage
• COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment.
• WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.
• Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed