Medical Reviewer, LPN
Health Care Service Corporation
full-time
Posted on:
Location Type: Hybrid
Location: Chicago • Illinois, Montana, New Mexico, Oklahoma, Tennessee • 🇺🇸 United States
Visit company websiteSalary
💰 $45,000 - $100,100 per year
Job Level
Mid-LevelSenior
About the role
- Responsible for pre-authorization reviews in accordance with the medical contract and regulations
- Conduct utilization review and ensure quality of care
Requirements
- LPN with valid, current, unrestricted clinical license in the state of operations
- 3 years of clinical experience in physician office, hospital, or surgical setting
- Customer service oriented to assist internal/external customers
- Verbal and written communication skills
- Interpersonal skills and ability to be a team player
- Willingness and ability to travel
- Familiar with PC or database systems
Benefits
- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
pre-authorization reviewsutilization reviewclinical experience
Soft skills
customer serviceverbal communicationwritten communicationinterpersonal skillsteam playerwillingness to travel
Certifications
LPNvalid clinical license