LPN / Case Administrator Coordinator / Remote
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 LPNliving in the state of South Carolina.Apply todayand we'll reach out to answer any questions you may have!
Job Duties
- Responsible for supporting and maintaining the coordination of daily operations of assigned area.
- Interfaces with the medical management on a regular basis to work more complex UR cases for the outpatient UR function
- Maintains the outpatient authorization process to include ensuring benefit coverage, reviewing/determining eligibility, reviewing of established UR criteria, interpreting rules and regulations.
- Completes authorization by following established policies
- Review interdepartmental requests and medical information to complete utilization process
- Documents process used and decision int he appropriate system in accurate and timely manner.
- Performed other duties as assigned.
Minimum Qualifications
- Current Licensed Practical Nurse / LPN license in the State of South Carolina or active compact multistate unrestricted LPN license
- 3+ years managed care or physician's office experience
- Computer proficiency
EEO Statement:
InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including recent executive orders, and strictly prohibit discrimination, harassment, or retaliation based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, veteran status, or any other characteristic protected by law.
InGenesis is dedicated to making reasonable accommodations for qualified individuals with disabilities and ensuring that all employment decisions are based on qualifications, merit, and business needs. If you require a reasonable accommodation during the hiring process, please contact us 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.