Your browser cookies must be enabled in order to apply for this job. Please contact support@jobscore.com if you need further instruction on how to do that.

Licensed Practical Nurse / LPN - Medical Reviewer (3615)

Medical Review | Columbia, SC | Contract

Job Description
Licensed Practical Nurse / LPN - Medical Reviewer
Work Location: Columbia, SC

InGenesis is currently seeking a Licensed Practical Nurse / LPN to perform Medical Review of clinical information using established criteria or clinical guidelines. In this role, you will provide support and review of medical claims and utilization practices.

This is a potential REMOTE opportunity for local candidates – once trained and high performance is demonstrated! Apply today and we’ll reach out to answer any questions you may have.

Job Duties
• Review and evaluate medical or behavior eligibilities regarding benefits and clinical criteria.
• Perform utilization management of professional facility benefits/services.
• Document decisions using established protocols.
• Provide support and review of medical claims and utilization practices.
• Perform other duties as assigned.

Minimum Qualifications
• Current Licensed Practical Nurse / LPN license in the State of South Carolina.
• 2+ years of clinical experience.
• Computer proficiency.
• Potential to work remote after 6 months onsite and fully trained in role.