Actively looking to hire multiple LPNs that have strong Prior Authorization Experience to join a growing health plan organization on a REMOTE basis. Must be local to the Tampa, FL area. This is an urgent need and will move quickly!
This is a Monday- Friday with rotating late shifts, weekends and rotating holidays. Every 4-6 weeks have to pick up a late shift and weekend.
Duties:
• Performs an initial evaluation of the referrals appropriateness for services.
• Reviews for information needed to make a medical necessity determination.
• Requests additional clinical information when needed to render a decision and determines next steps.
• Ensure case review and elevation to complete the determination is rendered within the contractual and regulatory turnaround time standards to meet both contractual and regulatory requirements.
• Interact with the Medical Director as needed to ensure proper medical necessity decisions are being made in a timely manner.
Qualifications:
• Active LPN in FL
• 1.5 years of Utilization Review/ Prior Authorization
• Reliable
About Aerotek:
Your success starts with the right career opportunity. Aerotek uses a people-focused approach to connect job seekers to incredible opportunities with leading organizations. Established in 1983, we've grown to become a consistent Best of Staffing® winner for talent satisfaction because of our dedication to exceptional service. Serving over 300,000 contract workers every year, we specialize in placing workers with engineering, scientific, professional and industrial skill sets. Aerotek is proud to offer competitive benefits, including contributory medical, dental and vision insurance, weekly pay, discounts on consumer goods and services and more.
$29-$29 per hour Employment Type: Contract