Utilization Management LPN at Adecco US, Inc. Job Listing at DirectEmployers in Minneapolis, MN (Job ID 4449047-2024-08-16)

Description

**Adecco Healthcare & Life Sciences** is hiring REMOTE LPNs in Palm Desert, CA!

This role is in person / on site.

Please read below and if interested, please apply with a current resume for consideration:

**Type:** Temp to Hire

**Schedule:** Monday to Friday

**Pay** : $32.85 to $ 34.85

**Responsibilities of the LPN:**

Responsible for screening and reviewing prospective, concurrent, and retrospective referrals and authorizations for medical necessity and appropriateness of service and care and discussing with Medical Directors.

Coordinates health care services with appropriate physicians, facilities, contracted providers, ancillary providers, allied health professionals, funding sources, and community resources.

Responsible for the prospective review to determine the appropriateness of denial, possible alternative treatment, and draft denial language to ensure consistent application of standardized, nationally recognized UM criteria and appropriate use of denial language.

Coordinates out-of-network and out-of-area cases with members' health plans and the Case Management team.

**Qualifications for the LPN:**

· Highschool/GED or equivalent

· Graduation from an accredited Licensed Vocational Nurse program

· Active, unrestricted LVN license in the state of California

· 1+ years Utilization management experience including Prior Authorization

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

**IMPORTANT:** This role is being recruited for by Adecco's Healthcare & Life Sciences division, not your local Adecco Branch Office. For opportunities available at Adecco Healthcare & Life Sciences go to **

Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit ** . The Company will consider qualified applicants with arrest and conviction record

**Pay Details:** $32.85 to $34.85 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.

Compensation Information:
$34.85 / Hourly - $34.85 / Hourly