RN Clinical Reviewer

Job Summary

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

Key Responsibilities

• Assures accuracy and timeliness of review cases within contract requirements
• Assesses and adjusts daily workload and call queues to meet departmental demands
• Maintains knowledge of review processes and serves as a resource for nurse reviewers

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
• 2+ years of clinical experience in a hospital or post-acute environment
• Medical record abstracting skills