LPN / Medical Reviewer / Remote

Ingenesis Group • Columbia, SC

318d

About The Position

InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will 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 REMOTE opportunity for a LPN living in the state of South Carolina.

Requirements

• Current Licensed Practical Nurse / LPN license in the State of South Carolina.
• 2+ years of clinical experience.
• Computer proficiency.

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: No Education Listed