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
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