Licensed Practical Nurse, Clinical Review Specialist
Northeast Georgia Health System
full-time
Posted on:
Location Type: Hybrid
Location: Gainesville • United States
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About the role
- Provide clinical screening assessments of prospective Medicaid or Disability candidates
- Assist patients and families with navigating through the Medicaid or Disability application process
- Provide medical record analysis to support departmental functions
- Review medical records to determine emergency services provided
- Coverage for precertification tasks as needed
Requirements
- LPN licensure or other certifications
- Associate's Degree
- Minimum of three (3) years in professional nursing
- At least one year of UR, Case Management and/or Auditing experience
- Ability to analyze medical records
- Exceptional research and problem-solving skills
- Deep knowledge of Patient Financial Services processes and governmental guidelines
- Exemplary customer service skills
- Excellent oral and written communication skills
Benefits
- Health insurance
- Flexible work arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical record analysisclinical screening assessmentsprecertification tasksUR experienceCase Management experienceAuditing experienceanalyzing medical records
Soft Skills
research skillsproblem-solving skillscustomer service skillsoral communication skillswritten communication skills
Certifications
LPN licensureAssociate's Degree