State Licensed Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer to join their growing team.

Key Responsibilities

• Assures accuracy and timeliness of all applicable review type cases within contract requirements
• Assesses and adjusts daily workload and queues to meet departmental demands
• Maintains knowledge of review processes and clinical practices while fostering professional relationships with customers

Required Qualifications

• Active unrestricted LPN or RN required
• LPN must have a diploma or certificate in practical nursing per state requirements
• RN must have an Associate's or higher degree from an accredited college in a related field
• Knowledge of medical records, medical terminology, and disease processes required
• Strong clinical assessment and critical thinking skills required