Medical Reviewer LPN

Health Care Service Corporation•Tulsa, OK

6d•Remote

About The Position

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is 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.