Inpatient Utilization Review LPN - Impactful Care

Ventura Services Florida; Baton Rouge (LA); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

BC/BS LA Health Insurance available

Competitive Salaries based on经验

Collaborative family environment with

Mentoring by senior nursing staff who

Established clinical protocols, 有ed on

Medical, Dental, Life, AD&D insurance和

Job summary

Seaside Health System in Baton Rouge, LA is seeking a dedicated Utilization Review Specialist LPN to join our inpatient team. You will review patient information on admission and submit clinicals to external insurers for precertification, while supporting on-call duties.

The role requires meticulous documentation, timely communication with physicians and insurance, and assistance with Medicaid applications.

Qualifications

• Review patient information on admission and submit clinicals to insurance for precertification.
• Monitor information sent to insurance to ensure only required data is disseminated.
• Available for on-call as needed.
• Assist patients with Medicaid applications.
• Update UR logs daily.
• Communicate with physicians, nurses, social services and staff regarding documentation.

Responsibilities

• Reviews patient information upon admission and submits clinicals to external insurance companies to obtain precertification in a timely manner.
• Monitors information copied and sent per request to insurance companies for inpatient and assures only the required information is disseminated.
• Available for on-call as needed.
• Fax or call-in all discharge clinicals to insurance companies in a timely manner.
• Assists patients with Medicaid Applications.
• Updates UR Logs daily.
• Contacts Physicians, nurses, social services, and other appropriate staff regarding potential problems or questions related to documentation of patient care issues.
• Other duties as assigned/required.

Job description

Seaside Health System in Baton Rouge, LA is seeking a dedicated Utilization Review Specialist LPN to join our inpatient team. You will review patient information on admission and submit clinicals to external insurers for precertification, while supporting on-call duties.

The role requires meticulous documentation, timely communication with physicians and insurance, and assistance with Medicaid applications.