LVN Utilization Review Case Manager

Universal Health Services; McAllen (TX); On-site; USD 42,000 - 66,000; Full time

Job summary

Universal Health Services in McAllen, TX is seeking an experienced LVN to perform retrospective reviews for payors and accurately enter ICD/CPT and DRG codes. The role may involve weekend or off-hours work and requires a commitment to service excellence and compliance.

Coding experience is preferred and basic computer skills are required. Licensure as an LVN in Texas is mandatory, with inpatient or outpatient coding experience a plus.

Qualifications

• Five years of varied clinical experience.
• Basic computer skills required; additional college hours preferred.
• Must adhere to the Compliance Program and Code of Conduct.

Responsibilities

• Perform retrospective reviews for payors and enter ICD/CPT and DRG when indicated.
• Occasional weekends, holidays, evenings, nights, and/or on-call status may be required.
• Demonstrates Service Excellence standards at all times.

Skills

Clinical experience

Computer skills

Education

LVN TX license

Coding experience (inpatient/outpatient)

Job description

Universal Health Services in McAllen, TX is seeking an experienced LVN to perform retrospective reviews for payors and accurately enter ICD/CPT and DRG codes. The role may involve weekend or off-hours work and requires a commitment to service excellence and compliance.

Coding experience is preferred and basic computer skills are required. Licensure as an LVN in Texas is mandatory, with inpatient or outpatient coding experience a plus.