Alabama Licensed Clinical Reviewer RN

Job Summary

A company is looking for a Clinical Reviewer RN - PRN.

Key Responsibilities

• Review and interpret patient records to determine medical necessity and appropriateness of care
• Determine approval or initiate referrals based on medical record documentation
• Maintain confidentiality of medical records and adhere to HIPAA policies

Required Qualifications

• Active, unrestricted RN license in Alabama
• Minimum 2 years of clinical experience in an acute care or med-surg setting
• Knowledge of medical records, terminology, and disease processes
• Strong clinical assessment and critical thinking skills