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South Carolina Licensed Utilization Coordinator

Job in Long Beach, Los Angeles County, California, 90899, USA
Listing for: Virtual Vocations Inc
Full Time position
Listed on 2026-03-05
Job specializations:
  • Healthcare
    Healthcare Administration
Job Description & How to Apply Below
A company is looking for a Utilization Management Coordinator I to perform medical and pharmacy reviews and support utilization management services.

Key Responsibilities Conduct authorization processes and review medical/pharmacy requests for eligibility and necessity Educate customers on medical reviews and respond to inquiries regarding coverage determinations Maintain required licenses and attend mandatory meetings while making appropriate referrals as needed

Required Qualifications Bachelor's degree in a job-related field or graduate of an accredited LPN/LVN program Two years of work experience as an LPN or LBSW Active, unrestricted LPN/LVN licensure or active LBSW in the state of hire Working knowledge of Microsoft Office and word processing software Ability to handle confidential information with discretion
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