Medical Management Nurse (LVN) Jobs

The Medical Management Nurse (LVN) assesses medical necessity of patient admissions, surgical and diagnostic procedures, and other related services. Coordinates with healthcare providers and plan members to maximize member benefits while managing costs. Being a Medical Management Nurse (LVN) may assist members in appeals for denied services. Conducts pre-certification or authorization, and monitors compliance with established medical guidelines and policies. In addition, Medical Management Nurse (LVN) requires a high school diploma. Typically reports to a registered nurse or supervisor. Requir ... es graduation from approved LPN educational program. Requires a state license to practice. Medical Management Nurse (LVN)'s years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. More
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