Clinical Reviewer

Job is Expired
Location: Remote
Compensation: Salary
Reviewed: Tue, May 06, 2025

Job Summary

A company is looking for a Clinical Reviewer (Remote).

Key Responsibilities
  • Conduct clinical reviews of Level I PASRR screens and determine the need for comprehensive assessments
  • Issue approvals, denials, or recommendations based on clinical criteria and contract requirements
  • Document activities within contract systems and communicate with relevant stakeholders
Required Qualifications
  • High School Degree or equivalent required
  • Minimum of 1 year of clinical experience required; LPN, RN, LCSW, or related licensure preferred
  • Master's Degree in Social Work, Mental Health, or related degree program preferred
  • Minimum of 2 years clinical experience in mental health
  • Proficiency in navigating multiple healthcare systems

COMPLETE JOB DESCRIPTION

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