Clinical Compliance Specialist - LVN - SWHR CIN - Remote

The ideal candidate will possess the following qualifications:

•  High School Diploma or Equivalent required And.

•  Nursing graduate of accredited vocational nursing school required.

•  3 Years of experience in Medicare Advantage or Managed Care required And.

•  3 Years of experience in Utilization Review, Discharge Planning and Medical Case Management in hospital or post-acute care setting preferred Or

•  2 Years of case management experience in an acute or post-acute provider or health plan or other care company experience preferred

•  Knowledge of Medicare and health plan criteria, and Acuity UM Application preferred.

•  LVN - Licensed Vocational Nurse required.

Skills:

•  Working knowledge of computers and basic software application used in job functions such as word processing, graphics, databases, spreadsheets, etc.

Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is a partner company of Texas Health. If hired for this position, you will become a SWHR CIN employee rather than a Texas Health employee.