LPN / Medical Reviewer / Remote

Posted December 12, 2024
Apply: InGenesis


Job Description:

InGenesis is currently seeking aLicensed Practical Nurse / LPNto 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 aREMOTEopportunity for a LPN living in the state of South Carolina.Apply todayand 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.

EEO Statement:

InGenesis is proud to be an affirmative action employer and is committed to providing equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you have a disability or special need that requires accommodation in the hiring process, please let us know by visiting our website at https://www.ingenesis.com/careers/site-accommodations

Company Statement:

InGenesis is one of the largest staffing firms in the industry and is among the largest diversity-owned healthcare staffing firms in North America. 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. InGenesis counts almost half of the Fortune 500 in our nearly 300 clients, including clients in the healthcare, life sciences, higher education and pharma industries.