Indiana Licensed Clinical Reviewer

Location: Remote

Compensation: To Be Discussed

Reviewed: Thu, Apr 23, 2026

This job expires in: 23 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

Ensure accuracy and timeliness of review cases within contract requirements
Assess and manage daily workload, adjusting schedules as needed
Collaborate with supervisors on quality monitoring activities

Required Qualifications

Active, unrestricted LPN/LVN or RN license in Indiana or a Compact state
Associate's degree or Practical/Professional nursing diploma/certificate 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, terminology, and disease processes

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