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Remote LPN Preservice Review Nurse – PST - Remote Eligible

Develop new letter templates and promote them to production for improved efficiency and compliance.
Seattle
Mid-Level
$19.47-$38.08 per hour
3 months ago
Optum

Optum

We’re a leading health solution and care delivery organization

Job is no longer active
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✨ About The Role

- Responsible for managing add or change requests and implementing them in the letter generation system - Review and create denial letters to ensure compliance with contractual and regulatory requirements - Conduct internal Quality Control reviews on letter writing processes and activities - Develop new letter templates or modify existing ones based on approved requests - Analyze inventory and identify opportunities to streamline processes and improve efficiencies

⚑ Requirements

- Experienced LPN nurse with at least 3-4 years of direct clinical patient care, preferably in a managed care environment - Strong knowledge of managed care principles and medical terminology - Excellent interpersonal, oral, and written communication skills with a keen attention to detail - Comfortable working with medical directors and collaborating with various stakeholders - Ability to work independently or in a team environment, demonstrating exceptional organizational skills
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Remote LPN Preservice Review Nurse – PST - Remote Eligible
Seattle
$19.47-$38.08 per hour
Vocational Nurse
Job is no longer active
About Optum
We’re a leading health solution and care delivery organization