Licensed Practical Nurse / LPN - (13233)

InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform Medical Review of clinical information using established criteria or clinical guidelines. In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE opportunity for a LPN living in the state of South Carolina. Apply today and we'll reach out to answer any questions you may have! Job Duties * Responsible for supporting and maintaining the coordination of daily operations of assigned area. * Interfaces with the medical management on a regular basis to work more complex UR cases for the outpatient UR function * Maintains the outpatient authorization process to include ensuring benefit coverage, reviewing/determining eligibility, reviewing of established UR criteria, interpreting rules and regulations. * Completes authorization by following established policies * Review interdepartmental...