Registered Nurse Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer - RN (Remote U.S.) to join their team.

Key Responsibilities

• Review and interpret patient records to determine medical necessity and appropriateness of care
• Abstract review-related data accurately and submit administrative documents in a timely manner
• Foster professional relationships and maintain confidentiality of medical records in compliance with HIPAA policies

Required Qualifications

• Active, unrestricted Registered Nurse (RN) License in any state or RN compact state license
• Associate's or Bachelor's degree (or Diploma) in Nursing
• 2+ years of clinical experience in an acute or med-surgical environment
• 1+ years of knowledge of medical records, medical terminology, and disease process organization