Utilization Manager Licensed Vocational Nurse - LVN - SWHR CIN - Fort Worth

The ideal candidate will possess the following qualifications:

•  Graduate from an accredited School of Nursing, LVN

•  2 Years of experience Utilization management experience in an acute or post-acute provider, health plan or other care company required.

•  2 Years of experience in direct patient care as an LVN, preferred acute care, required and,

•  5 Years of experience in health plan utilization review, discharge planning and medical case management preferred.

•  LVN – Licensed Vocational Nurse Possession of current Licensed

Vocational Nurse license in state of Hire required.

Skills:

•  Understands limitations of licensure for LVN. Works collaboratively with RN for out of scope deliverables.

•  Knowledge of specific regulatory, managed care requirements, and strong attention to detail.

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

•  Knowledge of Milliman Guidelines or similar clinical guidelines.

•  Strong analytical and organizational skills.

•  Working knowledge and ability to apply professional standards of practice in work environment.

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.