Account Login

Precertification LPN

We’re on a mission to improve health outcomes and reduce the cost of care. The work of our medical department is critical to helping us do both.  Working in a call center environment under supervision, this position handles inbound calls from patients, patient representatives, providers, and other medical staff. We are looking for a Medical Precertification LPN to add to our growing team.

 

What you’ll add to the team:

  • Management of precertification processes of eligible medical services based on medical plan documents and medical necessity
  • Apply clinical knowledge to make determinations for pre-authorizations of specific procedures and services
  • Conduct Medical/Surgical medical necessity reviews
  • Verify and update patient information in the clinical information system
  • Attention to detail and a team-focused attitude

 

What you’ll bring:

  • Associates degree or higher
  • Current LPN certification in North Carolina
  • Two or more years of healthcare experience and utilization review or related experience preferred
  • Excellent communication skills with members and providers
  • Spanish-speaking candidates are preferred

 

Working at Healthgram

Healthgram has repeatedly been voted the healthiest mid-size employer in Charlotte, NC. Conveniently located off of I-77. We offer career advancement opportunities, Medical, Dental, and Vision coverage options, Company paid Life Insurance and LTD, and a Company sponsored 401(k) plan with matching contribution. Incentive based wellness program is top notch – offering onsite massages and daily lunchtime exercise classes. We value what is important to you so we have paid holidays to celebrate and paid time off to recharge.