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Licensed Practical Nurse Utilization Management MSHC

Location: Buffalo, NY, United States

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Job Description

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: No

Work Schedule: Days

Hours: 8:00am to 4:00pm

Summary:
The Utilization Management LPN, working with the oversight of a Registered Nurse, is responsible for obtaining and tracking insurance authorizations for services provided. This position works closely with the Home Care Clinical Resource Management (CRM), HC Intake and skilled nursing facility departments to maintain effective communication related to the patient's financial coverage status. Acts as an advocate for the patient.

Responsibilities:

EDUCATION
  • Graduate of an accredited School of Nursing
  • Current New York State LPN License
EXPERIENCE
  • One (1) year Medical Surgical experience preferred
  • Utilization Management experience preferred
  • Home care and/or Long Term Care experience preferred

KNOWLEDGE, SKILL AND ABILITY
  • Excellent verbal and written communication skills
  • Strong organizational and time management skills
  • Knowledge of InterQual guidelines
  • Focus on customer satisfaction
  • Professional dress required
  • Computer skills required (Microsoft Office, Access)

WORKING CONDITIONS
  • Interacts frequently with agency personnel, insurers
  • Willingness to travel to various buildings and departments associated with Catholic Health System
  • Willingness to work flexible hours including weekends and holidays
  • Normal heat, light space, and safe working environment; typical of most office jobs
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