What are the responsibilities and job description for the LPN Utilization Review Case Manager Clinical Authorization position at medstar?
The LPN Case Manager, Clinical Authorization is responsible for coordinating and facilitating the review, authorization, and management of medical services to ensure appropriate utilization of healthcare resources. This position involves reviewing clinical documentation, applying medical necessity criteria, and collaborating with physicians, providers, and health plan members to support quality patient care within benefit and policy guidelines.
*1-2 years case management, utilization review, or managed care required
*Please Note: This role requires you to be on-site in Washington, DC, four days per week, with one remote workday each week. Additional flex-time may be allocated in the future*