LPN Jobs

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Immediate LPN Opening
With our health care services department growing at a rapid pace, we need to hire a LPN immediately. The opportunity is a full-time, Monday-Friday, 9-5 position located in our Watertown office of our reputable healthcare organization. The ideal candidate will be able to step in and help manage the discharge planning process for a number of patients using their previous clinical experience working directly with patients and other hospital staff to organize discharging and provide education of options to patients and hospital staff. This permanent opening provides an excellent way to grow your career in the healthcare industry and is also a great opportunity to work with experts in an industry leading, growing company.
Responsibilities include:
• Conducts pre-certification and retrospective clinical review of in state and out of state inpatient cases at acute, rehabilitation and skilled nursing facilities though application of evidence-based medical necessity criteria
• Focuses on efficient utilization management with emphasis on discharge planning. Case management components may be required.
• Understands and appropriately manages member's benefits to maximize health care quality.
• Collaborates with physician reviewers, case managers, project leaders and associates to optimize member care
• Facilitates review process by communication with members, families, providers, and medical staff for information relating to benefits
• Educates and support members and families regarding benefits, eligibility, policies and processes with the goal to empower self-advocacy.
• Completes cost avoidance and other reports and tracking tools to capture impact and/or scope of medical management responsibilities.
Qualifications:
• 1-3 years of clinical experience
• Ability to work well independently and as a team
• Excellent communication and patient care skills
Submit a resume above if interested in applying! Location: Boston Area
Principals only. Recruiters, please don't contact this job poster.
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Please do not contact job poster about other services, products or commercial interests.

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Published at 01-11-2012
Viewed: 53 times