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LPN Medical Reviewer (3615)

Medical Review | Columbia, SC | Contract

Job Description
LPN Medical Reviewer
Work Location: Columbia, SC

Job Summary/Description
InGenesis has an opportunity for an LPN / Medical Reviewer to come and join our client located in Columbia, SC! As the LPN / Medical Reviewer with a large health insurance provider, you will be responsible for reviewing and evaluating medical or behavior eligibilities regarding benefits and clinical criteria. You’ll successfully complete these highly important assignments by applying clinical expertise, administrative policies and previous established clinical criteria. This opportunity could give you the ability to work remote once fully trained and performance is in good standing. So, if you’re ready to join an organization that serves millions of South Carolinians, apply today!

Job Duties/Responsibilities/Functions (including but not limited to)
• Perform medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals.
• Document decisions using indicated protocol sets or clinical guidelines.
• Provide support and review of medical claims and utilization practices.
• Performs other duties as assigned.

Minimum Qualifications
• Active & unrestricted LPN license in South Carolina
• Minimum of 2 years clinical experience
• Solid computer skills
• Excellent attention to detail
• Ability to work independently

About InGenesis
InGenesis is dedicated to placing people in positions that preserve life, improve lives and inspire others. This does not happen without passionate people, skilled colleagues who are motivated to create innovative solutions and deliver superior service to our clients. Founded in 1998, InGenesis manages thousands of employees, including pioneering healthcare, science, technology and pharma professionals. The workforce solutions company includes almost half of the Fortune 500 in its nearly 300 clients. It is recognized as one of the largest healthcare staffing firms, and InGenesis is the largest minority/women owned healthcare staffing firm in North America.

EEOC Statement
We support a diverse workforce and is an Equal Opportunity Employer who does not discriminate against employees and applicants for employment on the basis of race, gender, color, religion, national origin, age, sexual orientation, gender identity, genetic information, disability, veteran status, or other classification protected by law.