Utilization Management LVN

Artificial Intelligence; Advanced Technology; The very best in patient care.  With decades of expertise, RadNet is Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience.  When you join RadNet as a Utilization Department Lead, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes.

You Will:

• Creates edits or cancels new or current patient orders, and notifies staff of changes when necessary.
• Enters accurate information in the system for appointment scheduling, rescheduling, cancellation and comment entry.
• Works closely with referring physicians’ staff to obtain patient notes and begin process of authorizations.
• Communicates and interacts with all departments effectively and professionally.
• Ensures accurate, timely, and thorough documentation and completion of all necessary paperwork, according to established standards.
•  Follows all HIPAA, compliance, privacy and confidentiality standards.
• Maintains patient confidentiality at all times.
• Contacts medical groups and offices as needed to obtain information needed to complete cases
• Imports referrals and patient paperwork into eRAD RIS.
• Completes all paperwork in a timely and accurate manner.

If You Are:

• Passionate about patient care and exercise sound judgement and an ability to remain professional in all situations
• You demonstrate effective and professional communication, interpersonal skills and respect with patients, guests & colleagues
• You have a structured work approach, understand complex problems are and you are able to prioritize work in a fast-paced environment.    

To Ensure Success In This Role, You Must Have:

• California State Licensed Vocational Nurse
• A high school diploma or general education degree (GED)
• 2 years of UM or medical job related experience preferred.
• Experience of working with Microsoft excel, office and word is preferred.
• Possesses and utilizes excellent customer service skills, strong public relations skills, and exceptional written and verbal communications skills.
• Must be detail-oriented and organized, possess clerical skills, and have the ability to interact effectively with doctors, referring doctors and staff, patients, vendors, peers, and management

We Offer:

• Comprehensive Medical, Dental and Vision coverages.
• Health Savings Accounts with employer funding.
• Wellness dollars
• 401(k) Employer Match
• Free services at any of our imaging centers for you and your immediate family.

Pay Range: $23.00 - $25.00 per hour