Medical Reviewer LPN

Medical Reviewer LPN page is loaded## Medical Reviewer LPN locations:
IL - Chicago:
Tulsa Oklahoma HQ (1400 S. Boston Avenue):
Helena Montana HQ (3645 Alice Street):
Albuquerque New Mexico HQ (5701 Balloon Fiesta Parkway):
TN - Nashville posted on:
Posted Todayjob requisition :
R0047558

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.###
** JOB 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.
** PREFERRED JOB REQUIREMENTS****:
*** Utilization review or utilization management experience
** Telecommute:
** This is a Telecommute (Remote) role:  Must reside within 250 miles of the office or anywhere within the posted state.#LI-TELECOMMUTE#LI-SG1### ###
** Pay Transparency Statement:
** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  

Learn more about our benefit offerings by visiting .The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.## HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.# #
** Base Pay Range**$45,000.00 - $Exact compensation may vary based on skills, experience, and location.

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.
#J-18808-Ljbffr