LPN / Medical Reviewer / Remote

InGenesis is one of the largest staffing firms in the industry and is among the largest diversity-owned healthcare staffing firms in North America. InGenesis is dedicated to placing people in positions that preserve life, improve lives, and inspire others. This does not happen without passionate people: skilled colleagues who are motivated to create innovative solutions and deliver superior service to our clients. InGenesis counts almost half of the Fortune 500 in our nearly 300 clients, including clients in the healthcare, life sciences, higher education and pharma industries.

LPN / Medical Reviewer / Remote 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!

Review and evaluate medical or behavior eligibilities regarding benefits and clinical criteria. Perform utilization management of professional facility benefits/services. Document decisions using established protocols. Provide support and review of medical claims and utilization practices. Perform other duties as assigned.