UTILIZATION MGR LVN SWHR CIN

The ideal candidate will possess:

• Other Graduate of an accredited School of Nursing, LVN Required AND
• 2 Years Utilization management experience in an acute or post-acute provider, health plan or other care company Required AND
• 2 Years Experience in direct patient care as an LVN (preferred acute care) Required
• 5 Years 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 Upon 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.