Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description
This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care. Qualifications • 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 • Incumbents with other clinical licenses are not required to obtain multi-state licenses Requirements • Utilization review or utilization management experience Benefits • 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 • Other incentives Company Description 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. Apply tot his job