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Medical Reviewer I
Spectraforce Technologies
Columbia, SC
Required Licenses and Certificates: Active, unrestricted LPN/LVN Licensure from the United States and in the state of hired, OR, active compact multi-state unrestricted LPN license as defined by the Nurse Licensure Compact (NLC) . Summary: Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals.