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Central Denials UM LVN - Remote
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Full-time
Remote
- Perform all functions of the UM nurse reviewer
- Ensures the UM nurse reviewer has provided the appropriate reference for benefits, guidelines, criteria, or protocols based on the type of denial
- Ensures that there is evidence that the UM nurse reviewer documented communications with the requesting provider to validate the presence or absence of clinical information related to the criteria applied
- 1+ years of experience as an UM nurse reviewer
- 1+ years of recent clinical experience working as an LVN/LPN
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