Utilization Review Spec LVN Remote - Pearland
2 weeks ago

Job summary
We have an exciting opportunity for a Utilization Review Specialist (LVN) to join our team at Kelsey-Seybold Clinic in Houston.The successful candidate will be responsible for conducting medical reviews, benefit verification, and applying criteria to determine medical necessity for health care services requiring authorization prior to rendering services to members.
- Conduct medical reviews
- Benefit verification
- Apply criteria
Job description
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