Maine Licensed Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer - LCPC or LCSW (Remote).

Key Responsibilities

• Conduct comprehensive medical record reviews ensuring 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 or Licensed Clinical Social Worker
• Graduate from an accredited Master's Degree Program
• Must be a resident of the State of Maine
• Familiarity with public sector healthcare services and support systems
• Working knowledge of medical records and medical terminology