Remote Clinical Reviewer (RN/LPN)

Job Summary

A company is looking for a Clinical Reviewer - SCA (RN/LPN - Remote).

Key Responsibilities

• Ensure accuracy and timeliness of review cases within contract requirements
• Assess and manage daily workload and call queues, adjusting schedules as needed
• Monitor quality activities and implement improvement plans in collaboration with the Supervisor

Required Qualifications

• Active, unrestricted LPN or RN license in the applicable state or a Compact State license
• Knowledge of medical records organization, terminology, and disease processes
• Strong clinical assessment and critical thinking skills
• 2+ years of clinical experience in a hospital or post-acute environment
• Medical record abstracting skills