Case Manager LVN Utilization PRN McAllen

Socket.dev; McAllen (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Universal Health Services in McAllen, TX is seeking a clinical associate to perform retrospective payor reviews under supervision, entering ICD/CPT and DRG when indicated. Weekend/holidays/evenings on-call may be required. A TX LVN license and 5 years of clinical experience are preferred, with basic computer skills and compliance with policies required.

Training and support are provided to ensure service excellence in a fast-paced healthcare environment. Coding experience is a plus for this role.

Qualifications

• 5 years of varied clinical experience.
• Basic Computer skills are required, additional college hours preferred.
• Must demonstrate commitment and adherence to Compliance Program and Code of Conduct.

Responsibilities

• Retrospective reviews for payors and enter ICD/CPT and DRG when indicated.
• May work weekends, holidays, evenings, nights, and/or on-call status.

Skills

Basic Computer skills

Education

LVN licensed in TX

Coding experience preferred

5 years clinical experience

Job description

Responsibilities

POSITION SUMMARY:

Under the guidance and supervision of the Director, the clinical associate will perform retrospective reviews for payors, utilizing the current documentation system and enter the appropriate ICD/CPT and DRG when indicated. May be occasions when it will be necessary to work weekends, holidays, evenings, nights, and/or on-call/call-back status. Demonstrates Service Excellence standards at all times.

Qualifications

QUALIFICATIONS:

• 1. 5 years of varied clinical experience.
• 2. Basic Computer skills are required, additional college hours preferred
• 3. Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

EDUCATION / LICENSURE:

• 1. LVN licensed in the State of TX
• 2. Coding experience preferred, Inpatient or outpatient

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Authorized by

Corporate Human Resources