Injury Management Organization, Inc.
LVN - Preauthorization/Peers Coordinator
Injury Management Organization, Inc., Plano, Texas, us, 75086
SUMMARY
Must be an LVN
- This is a full-time position on site in Plano, Texas - Hybrid role
after
completion of 60-90 day training, full benefits, PTO, paid holidays, matching 401(k). Must reside in DFW metro area.
Collect clinical data to support the request in order to forward the file for PR/RME/DDE/RUR/LMA. Process incoming requests from clients and from health care provider bill submissions. The nurse must also be able to perform and process clinical data reviews for preauthorization requests for injured employees using standard evidenced-based practice guidelines.
Must be able to compile, process and maintain medical records of injured employees in a manner consistent with medical, administrative, ethical, legal and regulatory requirements of the health care system with maintaining compliance through instruction and pre-established guidelines to perform the functions of the job. Familiar with standard concepts, practices and procedures within the medical field, Division of Workers Compensation and the Texas Law regarding workers compensation. Assist with Preauthorization tasks and projects as requested.
Coordinate and process in excess of 20 ancillary services requests weekly
Chronologize and organize in excess of 20 files weekly of medical records ranging from 1-1,000 pages
Interpret and evaluate diagnostic tests to identify and assess patient's condition
Record each case in the system utilizing clinical summary format with a decision on whether to pre-approve the request as medically necessary or consult a physician advisor for determination
The successful LVN will possess an advanced skill level in computer literacy to enter, access or retrieve data with high level of accuracy and type 40+ WPM, be familiar with medical terminology, ICD-10 and CPT coding. Possess the ability to conduct face-to-face discussions with individuals and team.
EDUCATION and/or EXPERIENCE
Active LVN or LPN license in the State of Texas
Requires a 1, 2 or 4-year degree
Familiar with Texas Law and Division of Workers' Compensation preferred
Medical office/clinical experience of 2-3 years
Medical terminology, ICD-10 and CPT coding required
Bilingual in Spanish a plus
Salary range $23-$25/hour / fulltime with benefits, PTO, paid holidays, matching 401(k)
Founded in 1991,
Injury Management Organization, Inc.
(IMO) is a managed care company serving public and private employers, nonsubscribers, insurance carriers and third party administrators.
This is a full-time position in Plano, TX - Hybrid role after completion of 90-day training, full benefits, PTO, paid holidays, matching 401(k), $25,000 life.
Upon acceptance of position, background check and drug screen will be completed prior to start of employment.
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Must be an LVN
- This is a full-time position on site in Plano, Texas - Hybrid role
after
completion of 60-90 day training, full benefits, PTO, paid holidays, matching 401(k). Must reside in DFW metro area.
Collect clinical data to support the request in order to forward the file for PR/RME/DDE/RUR/LMA. Process incoming requests from clients and from health care provider bill submissions. The nurse must also be able to perform and process clinical data reviews for preauthorization requests for injured employees using standard evidenced-based practice guidelines.
Must be able to compile, process and maintain medical records of injured employees in a manner consistent with medical, administrative, ethical, legal and regulatory requirements of the health care system with maintaining compliance through instruction and pre-established guidelines to perform the functions of the job. Familiar with standard concepts, practices and procedures within the medical field, Division of Workers Compensation and the Texas Law regarding workers compensation. Assist with Preauthorization tasks and projects as requested.
Coordinate and process in excess of 20 ancillary services requests weekly
Chronologize and organize in excess of 20 files weekly of medical records ranging from 1-1,000 pages
Interpret and evaluate diagnostic tests to identify and assess patient's condition
Record each case in the system utilizing clinical summary format with a decision on whether to pre-approve the request as medically necessary or consult a physician advisor for determination
The successful LVN will possess an advanced skill level in computer literacy to enter, access or retrieve data with high level of accuracy and type 40+ WPM, be familiar with medical terminology, ICD-10 and CPT coding. Possess the ability to conduct face-to-face discussions with individuals and team.
EDUCATION and/or EXPERIENCE
Active LVN or LPN license in the State of Texas
Requires a 1, 2 or 4-year degree
Familiar with Texas Law and Division of Workers' Compensation preferred
Medical office/clinical experience of 2-3 years
Medical terminology, ICD-10 and CPT coding required
Bilingual in Spanish a plus
Salary range $23-$25/hour / fulltime with benefits, PTO, paid holidays, matching 401(k)
Founded in 1991,
Injury Management Organization, Inc.
(IMO) is a managed care company serving public and private employers, nonsubscribers, insurance carriers and third party administrators.
This is a full-time position in Plano, TX - Hybrid role after completion of 90-day training, full benefits, PTO, paid holidays, matching 401(k), $25,000 life.
Upon acceptance of position, background check and drug screen will be completed prior to start of employment.
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