Impactful LVN Utilization Case Manager

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

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.