Utilization Management Nurse Reviewer, LPN

A company is looking for a Utilization Management Nurse Reviewer (Remote, LPN Required).

Key Responsibilities

Conduct assessments to validate the appropriateness of medical services based on established criteria

Examine patient records to ensure quality of care and necessity of services provided

Provide clinical expertise and support to non-clinical staff and management teams

Required Qualifications

Licensed Practical / Vocational Nurse with an active and unrestricted license

Minimum of 2 years clinical nursing experience

At least 1 year of experience in Utilization Management

Background in medical or clinical practice through education or professional engagement

Proficiency in using Microsoft tools such as Word, Excel, and Outlook