Case Manager LVN Utilization PRN McAllen
Required skills
- LVN
- TX
- 5 years clinical experience
- retrospective reviews
- payors
- documentation system
- ICD
- CPT
- DRG
- Service Excellence
Nice to have
- Basic Computer skills
- additional college hours
- Coding experience
- Inpatient
- Outpatient
Role summary
Under the guidance of the Director, this PRN Case Manager LVN will perform retrospective reviews for payors using the current documentation system, entering appropriate ICD/CPT and DRG codes. The role requires 5 years of varied clinical experience and an LVN license in Texas. Basic computer skills are necessary, with additional college hours preferred. Commitment to the organization's Compliance Program and Code of Conduct is mandatory. The position may require working weekends, holidays, evenings, nights, and/or on-call status, demonstrating Service Excellence at all times.
POSITION SUMMARY:
Under the guidance and supervision of the Director, the clinical associate will perform retrospective reviews for payors, utilizing the current documentation system and enter the appropriate ICD/CPT and DRG when indicated. May be occasions when it will be necessary to work weekends, holidays, evenings, nights, and/or on-call/call-back status. Demonstrates Service Excellence standards at all times.
Qualifications
QUALIFICATIONS:
1. 5 years of varied clinical experience.
2. Basic Computer skills are required, additional college hours preferred
3. Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.
EDUCATION / LICENSURE:
1. LVN licensed in the State of TX
2. Coding experience preferred, Inpatient or outpatient
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
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Authorized by
Corporate Human Resources
