Maine Licensed Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer (LCPC or LCSW) to work remotely within the state of Maine.

Key Responsibilities

• Conduct comprehensive medical record reviews to ensure compliance with clinical criteria and contract requirements
• Manage daily workloads and review queues to meet departmental demands
• Participate in quality monitoring and continuous improvement initiatives in collaboration with the Supervisor

Required Qualifications, Training, and Education

• Active, unrestricted Licensed Clinical Professional Counselor (LCPC) or Licensed Clinical Social Worker (LCSW) required
• Familiarity with public sector healthcare services and support systems
• Working knowledge of medical records and medical terminology
• Ability to document and articulate clinical findings clearly