Virginia Licensed Clinical Reviewer

This job has been removed

Location: Remote

Compensation: To Be Discussed

Reviewed: Mon, Apr 13, 2026

This job expires in: 14 days

Job Category: Healthcare

Weekly Hours: Full Time

Employment Status: Independent Contractor

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors

Job Summary

A company is looking for a Clinical Reviewer-PRN.

Key Responsibilities

Review medical records for accuracy and compliance with contract requirements
Manage daily workload and adjust schedules to meet departmental demands
Collaborate with supervisors on quality monitoring and maintain knowledge of clinical practices

Required Qualifications

Active and unrestricted LPN or RN license for the State of Virginia or compact
For LPN: Associate's degree or practical nursing diploma/certificate
For RN: Associate or bachelor's degree in a related field from an accredited institution
2+ years of clinical experience
1+ year of experience in Prior Authorization, Utilization Review, or Utilization Management

COMPLETE JOB DESCRIPTION

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