South Carolina Licensed LPN Coordinator
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Job Summary
Working remotely on a full-time basis, the South Carolina Licensed LPN Coordinator will perform medical surgical and pharmacy reviews, manage utilization processes, and support medical claims documentation while adhering to established guidelines.
Key responsibilities
- Perform authorization processes and determine eligibility and medical necessity of services based on utilization management guidelines
- Educate internal and external customers on medical reviews, coverage determinations, and coding procedures
- Complete required licenses and attend mandatory meetings while making referrals to appropriate staff as necessary
Required qualifications
- Bachelor's degree in a job-related field
- Graduate of an accredited school of Licensed Practical Nursing or Licensed Vocational Nursing
- Two years of work experience as an LPN
- Active, unrestricted LPN/LVN licensure in South Carolina or a compact multistate license
- Working knowledge of Microsoft Office software
Complete Job Description
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