Lvn work from home jobs El Segundo
- Location: El Segundo, California, United States
Primary Responsibilities:
Performing a retrospective review of claims received for care and services in both the inpatient and outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients’ health plan benefits
Conducts clinical reviews utilizing basic nursing knowledge, experience, and skills, as well as various managed care guidelines and departmental policy and procedures to ensure appropriate utilization of resources and patient quality outcomes
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