Destava

LPN Utilization Management Coordinator I

BlueCross and BlueShield of South Carolina is hiring for LPN Utilization Management Coordinator I in W@H South Carolina. Remote, Junior level. First seen November 10, 2026, posted 2 times; open as of November 13, 2026. Jobs taken straight from company career pages — no aggregator in between.

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Company
BlueCross and BlueShield of South Carolina
Where
W@H South Carolina
Arrangement
Remote
Level
Junior
First seen
November 10, 2026
Postings
2
Listed via
Workday

What the posting says

In this role as an LPN Utilization Management Coordinator I, you will perform medical surgical/pharmacy reviews using established criteria sets and/or perform utilization management of services within the LPN/LBSW scope of practice to include but not limited to professional, durable medical equipment, home health services, and/or pharmacy requests covered under the medical plan. You will document decisions using indicated protocol sets or clinical guidelines and provide support and review of medical claims and utilization practices. Description Location This position is full-time (40…

Read more and apply on BlueCross and BlueShield of South Carolina's site

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