Kelsey-Seybold Clinic

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LVN - Utilization Review

at Kelsey-Seybold Clinic

Posted: 8/15/2019
Job Reference #: 20383

Job Description

  • LocationUS-TX-Pearland
    Posted Date4 days ago(8/13/2019 4:49 PM)
    Job ID
    2019-20383
    Category
    Nursing
  • Overview

    LVN - Utilization Review
    Location: Pearland Administrative Office
    Department: Utilization Management
    Job Type: Full Time

    COMPANY PROFILE
    Kelsey-Seybold Clinic.

    Kelsey-Seybold Clinic is Houston’s premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey. With 19 clinic locations and more than 400 physicians, Kelsey-Seybold provides medical care in 55 medical specialties and is home to a nationally accredited Breast Diagnostic Center, Endoscopy Center, Infusion Center and Cancer Center. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.

    JOB SUMMARY
    The Utilization Review LVN nurse will perform documentation review for medical necessity and benefit correlation of requested medical and surgical procedures, services and admissions for HMO, PPO and POS products. The UR LVN nurse will serve as facilitator of communication with clinic, payor and other customers.

    EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
    (A = basics; B = preferred)

    Education

    A.

    Licensed Vocational Nurse, CEU requirement.

    B.

    Experience

    A.

    Two years varied medical/surgical experience. Computer and Coding experience.

    B.

    Licenses

    A.

    TX LVN license, Valid Driver’s license

    B.

    Special Skills

    A.

    Good organization and communication skills.

    B.

    Other

    A.

    HMO, PPO and POS insurance knowledge.

    B.

    WORKING ENVIRONMENT

    Clinical