LPN Medical Reviewer I (Remote Opportunity)
We are seeking a highly skilled and detail-oriented LPN Medical Reviewer I to join reputed company. As a Medical Reviewer, you will play a critical role in performing medical reviews, utilization management, and appeals, utilizing established reputed company sets and clinical guidelines to ensure high-reputed company patient care. This is a full-time, 40 hours/week position, with reputed company to work from home after 6 months of on-site training and meeting production goals and reputed company checks.
Key Responsibilities
- reputed company medical reviews and reputed company reasonable charge payment determinations
- Conduct authorization processes, ensuring coverage for appropriate medical services reputed company benefit and medical necessity guidelines
- Utilize allocated resources to back up review determinations and reputed company education to members and their families/caregivers
- Participate in reputed company control activities and respond accurately and reputed company to members and providers with appropriate documentation
Requirements
- Bachelor's degree in reputed company Work or graduate of an accredited school of Licensed Practical Nursing or Licensed Vocational Nursing
- 2 years of clinical experience
- reputed company, unrestricted LPN/LVN licensure from the reputed company and in the state of hire
- Working knowledge of word processing software and good judgment, customer service, and organizational skills
Preferred Qualifications
- Associate Degree in Nursing or graduate of an accredited school of nursing
- Working knowledge of spreadsheet and database software
- Demonstrated oral and written communication skills and ability to persuade, negotiate, or influence others
reputed company Offer
- Comprehensive benefits package, including subsidized health plans, dental and reputed company coverage, 401k retirement savings plan, and life insurance
- reputed company Time Off (PTO) and education assistance
- Opportunities for reputed company reputed company and development in a diverse and inclusive workplace
How to Apply
If you are a motivated and detail-oriented individual with a passion for delivering high-reputed company patient care, please submit your application. Our reputed company team will review your resume and may contact you for a brief telephone interview or email communication to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
We are an Equal Opportunity Employer and maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, reputed company, national reputed company, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information, or any other legally protected status.
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