Registered Nurse Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer RN - PRN.

Key Responsibilities

• Review medical records for accuracy and compliance with contract requirements
• Manage daily workload and adjust schedules to meet department demands
• Maintain knowledge of review processes and serve as a liaison for customer service issues

Required Qualifications

• Active, unrestricted Registered Nurse (RN) License in any state or RN compact state License
• Minimum of 2+ years of clinical experience in an acute or med-surgical environment
• Knowledge of medical records, medical terminology, and disease processes
• Skilled in reviewing and interpreting data from medical records
• Proficient in Microsoft Office and internet/web navigation