Utilization Management Nurse, LVN/LPN

The Utilization Management Nurse, LVN/LPN at NeueHealth is responsible for conducting real-time clinical reviews to assess the medical necessity of healthcare services for members under a managed care health plan. This role involves collaborating with healthcare providers, processing authorization requests, and ensuring compliance with health plan policies. The nurse will also work closely with the Medical Director on complex cases and participate in care coordination and discharge planning.

• Health benefits
• Life and disability benefits
• 401(k) savings plan with match
• Paid Time Off
• Paid holidays

• Remote work may be considered, but corporate office is preferred
• No specific mention of ongoing training or professional development opportunities
• Performance metrics focus heavily on compliance and efficiency, which may indicate a high-pressure environment