LPN or RN Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer to join their team.

Key Responsibilities

• Assures accuracy and timeliness of all applicable review type cases within contract requirements
• Assesses and adjusts daily workload and schedules to meet department demands
• Maintains current knowledge of review processes and serves as a liaison for customer service issues

Required Qualifications

• Active unrestricted LPN or RN license required
• For LPN, completion of a Practical Nursing diploma or certificate program as per state requirements
• For RN, an Associate's or higher degree from an accredited institution in a related field
• Knowledge of medical records, medical terminology, and disease processes required
• Strong clinical assessment and critical thinking skills required