South Carolina Licensed Case Administrator

Job Summary

A company is looking for a Case Administrator Coordinator to support and maintain daily operations in a remote setting.

Key Responsibilities

• Maintain the outpatient authorization process, ensuring benefit coverage and eligibility
• Review interdepartmental requests and medical information to complete the utilization process
• Document processes and decisions accurately and timely in the appropriate system

Required Qualifications

• Graduate of an Accredited School of Licensed Practical Nursing or Licensed Vocational Nursing
• 3 years of managed care experience in healthcare, physician's office, or insurance setting
• Active, unrestricted LPN/LVN licensure in the state of hire or active compact multistate unrestricted LPN license
• Proficiency in Microsoft Office software
• Ability to work independently and prioritize effectively