Health Care Service Corporation
Medical Reviewer LPN
Health Care Service Corporation, Chicago, Illinois, United States, 60290
At HCSC, our employees are the cornerstone of our business and the foundation to our success. Join HCSC and be part of a purpose‑driven company that invests in your professional development.
Overview This position is responsible for pre‑authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care.
Job Requirements
Licensed Practical Nurse (LPN) with a valid, current, unrestricted clinical license in the state of operations.
3 years of clinical experience in a physician office, hospital, or surgical setting.
Customer‑service orientation to assist internal and external customers.
Strong verbal and written communication skills.
Interpersonal skills and a teamwork mindset.
Willingness and ability to travel.
Familiarity with PC or database systems.
Incumbents with nursing licenses in positions 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 Requirements
Experience in utilization review or utilization management.
Telecommute This is a Telecommute (Remote) role: must reside within 250 miles of the office or anywhere within the posted state.
Compensation $45,000.00 - $100,100.00 (exact compensation may vary based on skills, experience, and location).
Employment Details Seniority level: Mid‑Senior level Employment type: Full‑time Job function: Health Care Provider Industry: Hospitals and Health Care
EEO 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.
Benefits To learn more about available benefits, please visit
HCSC Total Rewards .
#J-18808-Ljbffr
Overview This position is responsible for pre‑authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care.
Job Requirements
Licensed Practical Nurse (LPN) with a valid, current, unrestricted clinical license in the state of operations.
3 years of clinical experience in a physician office, hospital, or surgical setting.
Customer‑service orientation to assist internal and external customers.
Strong verbal and written communication skills.
Interpersonal skills and a teamwork mindset.
Willingness and ability to travel.
Familiarity with PC or database systems.
Incumbents with nursing licenses in positions 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 Requirements
Experience in utilization review or utilization management.
Telecommute This is a Telecommute (Remote) role: must reside within 250 miles of the office or anywhere within the posted state.
Compensation $45,000.00 - $100,100.00 (exact compensation may vary based on skills, experience, and location).
Employment Details Seniority level: Mid‑Senior level Employment type: Full‑time Job function: Health Care Provider Industry: Hospitals and Health Care
EEO 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.
Benefits To learn more about available benefits, please visit
HCSC Total Rewards .
#J-18808-Ljbffr