Job Summary
A company is looking for a Clinical Reviewer, LPN (Remote).
Key Responsibilities
- Review service requests for adherence to clinical criteria and policies
- Issue approvals, denials, or recommendations based on contract requirements
- Complete documentation of activities within contract systems and communicate with relevant parties
Required Qualifications
- Current Licensed Practical Nurse (LPN) license valid in the state of practice
- High School Degree or equivalent
- Minimum 1 year of clinical experience
- Minimum 2 years experience with mental health and psychiatric patients
- Minimum 2 years experience with individuals diagnosed with IDD
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