LPN Medical Necessity Evaluator
1 day ago
We are committed to providing exceptional service to our customers, including active and retired US military members and their covered family members. As a medical reviewer, you will have the opportunity to evaluate medical records and make informed decisions about medical necessity.
Salary Range: $65,000 - $85,000 per yearJob OverviewYou will be working as part of our expanding team of medical reviewers, evaluating medical records and making determinations about medical necessity. You will also be responsible for performing utilization management of professional, inpatient, outpatient facility benefits or services and appeals.
Responsibilities- Evaluate medical records to determine medical necessity.
- Document decisions using indicated protocol sets, or clinical guidelines.
- Provide support and review of medical claims and utilization practices.
- Active, unrestricted LPN/LVN licensure from the United States and in the state of hired.
- Graduate of an Accredited School of Licensed Practical Nursing or Licensed Vocational Nursing.
- Two years clinical experience.
- Tuition reimbursement and skills training classes.
- An aspiring leaders' program and promotional opportunities throughout our family of companies.
- A solid company with over 70 years of experience serving individuals, businesses, associations, and the US government.
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Medical Care Specialist
3 weeks ago
Myrtle Beach, South Carolina, United States Blue Cross and Blue Shield Association Full timeAbout Us">We are a leading health insurance provider dedicated to delivering high-quality care to our members. With over 70 years of experience, we continue to grow and evolve to meet the changing needs of our customers.Job SummaryThis Medical Care Specialist position is a fantastic opportunity for an LPN with a passion for medical review and utilization...
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LPN Medical Professional
3 weeks ago
Myrtle Beach, South Carolina, United States HCA Full timeWe are seeking a highly skilled LPN to join our orthopedic and surgical unit at Grand Strand Medical Center. As an LPN in this role, you will have the opportunity to work with a diverse patient population and contribute to providing exceptional patient care.About the RoleThis is a full-time day shift position that requires 3 twelve hour shifts, including...
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LPN - New Opportunities Ahead
3 weeks ago
Myrtle Beach, South Carolina, United States HCA Full timeJob OverviewWe are seeking a skilled Licensed Practical Nurse (LPN) to join our team at Grand Strand Medical Center. As an LPN, you will play a vital role in delivering high-quality patient care and contributing to the success of our healthcare team.About Our HospitalGrand Strand Medical Center has been providing quality healthcare services since 1978. Our...
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LPN / LVN Nursing Professional
1 day ago
Myrtle Beach, South Carolina, United States HCA Full timeAbout This RoleThis LPN position offers a rewarding career opportunity in a fast-paced hospital setting. The successful candidate will provide compassionate patient care while working collaboratively with a multidisciplinary team.Key Responsibilities:Deliver high-quality patient-centered care by performing delegated basic patient care services.Collaborate...
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Medical Services Coordinator
3 days ago
Myrtle Beach, South Carolina, United States Tidelands Health Full time**Tidelands Health Job Opportunity**We are seeking an experienced Physician Office Nurse to join our team. The ideal candidate will have a strong background in nursing and excellent communication skills.Responsibilities:Administer medications and treatments as prescribed by physiciansMonitor patient vital signs and report any concerns to physiciansDevelop...
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LPN - Experienced Nursing Professional
5 days ago
Myrtle Beach, South Carolina, United States HCA Full timeJob SummaryWe are seeking a dedicated and compassionate Licensed Practical Nurse to join our team at Grand Strand Medical Center. This is an exciting opportunity for a skilled LPN to work in a dynamic environment, providing high-quality patient care and contributing to the success of our medical center.About the RoleAs an LPN on our Ortho-Trauma-Surgery...
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Underwriting Representative
3 weeks ago
North Myrtle Beach, South Carolina, United States Underwriting Solutions Full timeWe are seeking a skilled Underwriting Representative to join our team at Verisk's Underwriting Solutions. As an Underwriting Representative, you will play a critical role in evaluating commercial business sites for multiple lines of insurance coverage, loss prevention, and risk assessment.Job DescriptionThis is a full-time position that requires effective...
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Healthcare Provider
1 day ago
Myrtle Beach, South Carolina, United States Maxwell Group Full timeAbout the RoleWe are seeking a skilled Licensed Practical Nurse to join our team at Maxwell Group. This is a challenging and rewarding role that requires a high level of competence in nursing services.Job SummaryThis position involves providing professional and restorative nursing services, including resident assessments, vital sign recording, medication...
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Licensed Practical Nurse
3 weeks ago
Myrtle Beach, South Carolina, United States HCA Full timeAbout Grand Strand Medical CenterAt Grand Strand Medical Center, we are dedicated to providing quality healthcare services to our patients and community. With over 40 years of experience, we have established ourselves as one of the leading acute care facilities in the region.Job SummaryWe are seeking a highly skilled Licensed Practical Nurse (LPN) to join...
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North Myrtle Beach, South Carolina, United States (336000) Medical Services of America Home Health - Coastal Full timeWe are seeking an experienced and licensed practical nurse (LPN) to join our part-time home health team in Horry and Georgetown, SC. As a valued member of our multidisciplinary team, you will provide skilled nursing care to clients under the direction of a registered nurse and physician's plan of care.Job RequirementsA successful completion of a certified...
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Medical ICU Nurse Coordinator
3 weeks ago
Myrtle Beach, South Carolina, United States Grand Strand Medical Center Full timeAt Grand Strand Medical Center, we are committed to providing exceptional patient care and a positive work environment for our nurses. We are seeking an experienced Registered Nurse (RN) to join our team as a Clinical Nurse Coordinator (CNC) in the Medical ICU department.Job SummaryThe CNC is a key member of the nursing leadership team, responsible for...
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LPN Healthcare Professional
14 hours ago
North Myrtle Beach, South Carolina, United States Jobot Full timeWork EnvironmentOur healthcare team provides high-quality patient-centered care in a dynamic medical environment, specializing in neurological health. The ideal candidate will collaborate closely with staff and physicians to achieve optimal treatment outcomes.Compensation and BenefitsThis role offers a competitive salary of $20 - $26 per hour, along with...
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LPN/CMA Specialist
1 day ago
North Myrtle Beach, South Carolina, United States Forest Family Care Inc Full timeJob DescriptionWe are seeking a qualified LPN/CMA to contribute to the success of Forest Family Care Inc. Estimated salary is $55,000 - $65,000 per year, depending on experience and qualifications.The ideal candidate will have professional communication skills, knowledge of electronic medical record documentation, phlebotomy, and basic nursing/medical...
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Medical Care Professional
4 weeks ago
Myrtle Beach, South Carolina, United States Living well family care Full timeJob OverviewWe are seeking an experienced LPN RN to deliver high-quality patient care at Living Well Family Care. The successful candidate will be responsible for providing compassionate and personalized nursing services to patients.Responsibilities:Care for patients with various medical conditions, injuries, or disabilitiesAdminister basic patient care and...
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Medical Nurse Specialist Cardiac Care
3 weeks ago
Myrtle Beach, South Carolina, United States Grand Strand Medical Center Full timeAbout the RoleWe are seeking a highly skilled RN Clinical Nurse Coordinator Cardiac Medsurg to join our team at Grand Strand Medical Center. As a Clinical Nurse Coordinator, you will play a critical role in ensuring the delivery of high-quality patient-centered care and coordination of all functions in the unit/department during the designated...
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LPN Healthcare Professional
3 days ago
North Myrtle Beach, South Carolina, United States Jobot Full timeJob Summary: We are seeking a skilled and compassionate LPN to join our Primary Care team on a full-time basis. As an integral part of our healthcare organization, you will have the opportunity to deliver exceptional patient care while working collaboratively with a talented team of professionals.">Job Responsibilities:Provide high-quality patient care in a...
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Medical ICU Registered Nurse
1 day ago
North Myrtle Beach, South Carolina, United States Grand Strand Medical Center Full timeJob Title: Medical ICU Registered NurseWe are seeking a qualified and experienced Medical ICU Registered Nurse to join our team at Grand Strand Medical Center.About the Role:The successful candidate will be responsible for assessing, evaluating, planning, implementing, and coordinating treatment plans to achieve the goals of the nursing department.Assessing...
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Medical Coder/Coding Specialist III
3 weeks ago
Myrtle Beach, South Carolina, United States Tidelands Health Full timeRemote Medical Coding Specialist Job OpportunityTidelands Health is seeking a skilled Remote Medical Coding Specialist to join our team. As a key member of our coding department, you will play a vital role in ensuring accurate and efficient coding practices that drive better health outcomes for our patients.Job SummaryWe are looking for an experienced...
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Medical Director
1 week ago
Myrtle Beach, South Carolina, United States CenterWell Full timeJob OverviewThe CenterWell Senior Primary Care team is seeking a skilled Physician to join our proactive, preventive care approach. As a dedicated healthcare professional, you will play a vital role in delivering high-quality patient care, focusing on outpatient medicine and continuity of care.About the RoleThis position involves moderately complex to...
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Medical Care Specialist
3 days ago
North Myrtle Beach, South Carolina, United States Grand Strand Medical Center Full timeJob DescriptionWe are seeking a skilled Critical Care Registered Nurse to join our team at Grand Strand Medical Center. In this role, you will be responsible for providing high-quality patient care in the Neuro ICU setting. You will work closely with patients, families, and healthcare teams to ensure the best possible outcomes.Responsibilities:Assessing and...