Remote Clinical Reviewer - RN/LPN

Job Summary

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

Key Responsibilities

• Assures accuracy and timeliness of review cases within contract requirements
• Adjusts work schedules daily to meet workload demands and monitors quality improvement activities
• Acts as a liaison for provider customer service issues and maintains professional relationships with internal and external customers

Required Qualifications

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