State Licensed Clinical Reviewer

Job Summary

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

Key Responsibilities

• Ensures accuracy and timeliness of review cases in accordance with contract requirements
• Assesses daily workload and adjusts work schedules to meet departmental demands
• Collaborates with supervisors on quality monitoring and identifies areas for improvement

Required Qualifications

• Active unrestricted LPN, RN, or Social Worker license
• Knowledge of medical records organization, medical terminology, and disease processes
• Strong clinical assessment and critical thinking skills
• Medical record abstracting skills
• Availability to work from 11:00am to 8:00pm EST