LPN - Utilization Review & Case Management (Travel)

Integrated Resources Inc.; Columbus (OH); On-site; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare solutions company seeks an LPN Case Manager to join its Utilization Management team in Columbus, OH. This role involves performing utilization review activities and conducting member visits to ensure they receive appropriate care while adhering to regulations. Candidates must hold an active LPN license in Ohio and have substantial nursing experience, particularly in home care.

Qualifications

• Active, unrestricted State Nursing License (Practical Nurse) in Ohio.
• 5+ years of LPN experience, including home care.
• Willingness to drive within the Columbus area.

Responsibilities

• Conduct face-to-face visits with members and educate them on benefits.
• Perform inpatient medical necessity/utilization review.
• Assess services to ensure optimal outcomes and compliance.

Skills

Self-starter

Communication

Documentation

Education

Completion of an accredited Registered Nursing program

Job description

A leading healthcare solutions company seeks an LPN Case Manager to join its Utilization Management team in Columbus, OH. This role involves performing utilization review activities and conducting member visits to ensure they receive appropriate care while adhering to regulations. Candidates must hold an active LPN license in Ohio and have substantial nursing experience, particularly in home care.