HCSC is seeking a Medical Reviewer (LPN/LVN) for a work-from-home position, responsible for conducting pre-authorization reviews in compliance with medical contracts and regulations. The ideal candidate should have three years of clinical experience, a valid nursing license, and strong communication skills, while the role offers competitive benefits and opportunities for 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.
At HCSC, our employees are the cornerstone of our business and the foundation to our success.
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.
Matching Summary
Match Score: 85
HCSC is seeking a Medical Reviewer (LPN/LVN) for a work-from-home position, responsible for conducting pre-authorization reviews in compliance with medical contracts and regulations. The ideal candidate should have three years of clinical experience, a valid nursing license, and strong communication skills, while the role offers competitive benefits and opportunities for professional development.
Salary
Base: $45,900.00 - $102,100.00; Bonus/Equity: annual incentive bonus plan; 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, plus other incentives
Skills & Requirements
Must-have
pre-authorization reviews
utilization review
quality of care
customer service oriented
verbal and written communication skills
interpersonal skills
team player
Nice-to-have
curated development plans
purpose-driven company
meaningful benefits
robust total rewards package
Key Requirements
LPN with valid, current, unrestricted clinical license