Indiana Licensed Clinical Reviewer
Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Thu, Mar 19, 2026
Job Summary
A company is looking for a Clinical Reviewer - LPN/LVN or RN.
Key Responsibilities
- Review medical records for accuracy and compliance with contract requirements
- Manage daily workload and adjust schedules to meet departmental demands
- Monitor quality activities in collaboration with the Supervisor
Required Qualifications
- Active, unrestricted LPN/LVN or RN license in Indiana or a Compact state
- Associate's degree or Practical/Professional nursing diploma from an accredited institution
- 2+ years of Utilization Review/Management and/or Prior Authorization experience
- 1+ years of experience with InterQual criteria and/or Milliman Care Guidelines
- Knowledge of medical records, medical terminology, and disease processes
COMPLETE JOB DESCRIPTION
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Job is Expired