Medical Reviewer, LPN/LVN
Health Care Service Corporation
full-time
Posted on:
Location Type: Remote
Location: Illinois • Tennessee • United States
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Salary
💰 $45,900 - $102,100 per year
About the role
- responsible for pre-authorization reviews in accordance with the medical contract and regulations
- medical criteria, utilization review, and 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
- Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management
- Multi-state license fees will be provided by HCSC
- Incumbents with other clinical licenses are not required to obtain multi-state licenses
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
- other incentives
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
LPNclinical experiencepre-authorization reviewsutilization reviewquality of care
Soft Skills
customer serviceverbal communicationwritten communicationinterpersonal skillsteam playerwillingness to travel
Certifications
valid clinical licensemulti-state nursing license