Indiana Licensed Clinical Reviewer

This job has been removed

Location: Remote

Compensation: To Be Discussed

Reviewed: Tue, Apr 21, 2026

This job expires in: 20 days

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Independent Contractor

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors

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 and maintain knowledge of review processes and clinical practices

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 experience in Utilization Review/Management and/or Prior Authorization
1+ years of experience with InterQual criteria and/or Milliman Care Guidelines
Knowledge of medical records, terminology, and disease processes

COMPLETE JOB DESCRIPTION

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