Utilization Review Coordinator - LPN - Part Time
Seaside Health System is seeking a part-time Utilization Review-LPN in our Baton Rouge Inpatient Hospital. Successful candidate is an individual who value clinical excellence, integrity and treating patients and colleagues with dignity and respect.
Requirements: One year or more work experience in a psych/mental health/behavioral health facility preferred but not required. Current Louisiana state license required Active listening skills and empathy for patients. Mature, professional, and positive attitude. Strong oral and written communication skills including the ability to set boundaries, use and interpret nonverbal ques. Emotional Intelligence including the ability to manage stress and anxiety, knows when to ask for help and how to be a reliable colleague. Critical thinking including the ability to implement interventions that are proven to result in a positive outcome for patients.
Responsibilities may include:
Reviews patient information upon admission and submit clinicals to external insurance companies to obtain precertification in a timely manner. Responsible for updating Medik daily with all authorizations, denials, and any important notes.
Monitors information that is copied and sent per request to insurance companies for inpatient and assures only the required information is disseminated.
Available for on-call as needed.
Fax or call-in all discharge clinicals to insurance companies in a timely manner.
Assists patients with Medicaid Applications.
Updates UR Logs daily.
Contacts Physicians, nurses, social services, and other appropriate staff regarding potential problems or questions related to documentation of patient care issues.
Other duties as assigned/required
We offer:
BC/BS LA Health Insurance available
Competitive Salaries based on experience.
Collaborative family environment with supportive colleagues.
Mentoring by senior nursing staff who are committed to your success and professional development.
Established clinical protocols, policies and procedures based on outcomes and evidence-based practice.
Medical, Dental, Life, AD&D insurance and generous Paid Time Off (PTO) program. 401(k) retirement plan.
Equal Employment Opportunity
Seaside Healthcare is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and prospective employees are afforded equal employment opportunity without consideration of race, religious creed, color, national origin, nationality, ancestry, age, sex, marital status, sexual orientation, or disability in accordance with local, state and federal laws.
Americans with Disabilities Act
Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.
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