Utilization Review LVN: Clinical Claims Expert

Kelsey-Seybold Clinic, part of the Optum family, seeks a UR LVN Utilization/Clinical Claim Review Nurse to assess medical necessity and benefit correlation for requests across HMO, PPO, and POS products. You will enter data into the clinic’s system and coordinate with payors and physicians. This role emphasizes communication, accuracy, and timely decisions; a TX LVN license with UR experience or strong clinical background is required, with competitive hourly compensation and benefits. #J-18808-Ljbffr Optum