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. Required Job 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. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses. Preferred Job Qualifications Utilization review or utilization management experience. 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 . Base Pay Range $45,900.00 - $102,100.00 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. #J-18808-Ljbffr
...and interpret diagnostic or laboratory tests. Education Master's Degree Nursing required Can this role accept experience in lieu of a degree? No Licenses and Credentials Midwife, Certified Nurse [State License] - Generic - HR Only required Experience...
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