LPN/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 queues to meet departmental 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 - Practical nursing diploma or certificate program as per state requirements
• For RN - Associate's or Bachelor's degree in a related field from an accredited institution
• Knowledge of medical records, medical terminology, and disease processes required
• Strong clinical assessment and critical thinking skills required