Licensed Clinical Reviewer

Job Summary

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

Key Responsibilities

• Ensure accuracy and timeliness of review cases in accordance with contract requirements
• Assess and manage daily workload and call queues, adjusting schedules as needed
• Collaborate with supervisors to monitor quality and identify areas for improvement

Required Qualifications

• Active, unrestricted LPN or RN license in the applicable state or a Compact State license
• Knowledge of medical records organization, medical terminology, and disease processes
• Strong clinical assessment and critical thinking skills
• Medical record abstracting skills
• 2+ years of clinical experience in a hospital or post-acute environment