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Pre-Certification LPN

Healthgram Fort Mill, SC
  • Expired: over a month ago. Applications are no longer accepted.

We are looking for a Medical Precertification LPN to add to our growing team. 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.

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


Why Work Here?

Bring our mission to champion healthy living to life – with competitive benefits, onsite wellness perks and a purpose-driven culture.

Healthgram is a forward-thinking company committed to redefining healthcare through technology, prevention, and transparency. We are driven by a common goal of true healthcare reform, with technology at the core. We know that healthcare must evolve beyond traditional, responsive sick care and focus on preventive care: keeping healthy people healthy, helping those with reversible conditions get better, and helping those with chronic illnesses manage their conditions.


8731 Red Oak Blvd, Charlotte, NC 28217
Fort Mill, SC