Job Summary
A company is looking for a Clinical Reviewer - LPN/LVN/RN (Remote U.S.)
Key Responsibilities
- Review medical records against criteria to determine medical appropriateness
- Monitor and adjust daily workload and schedules to meet departmental demands
- Maintain knowledge of review processes and serve as a resource for nurse reviewers
Required Qualifications
- Active, unrestricted LPN/LVN or RN license from the state of residence
- 1+ years of experience in Utilization Management/Utilization Review
- Knowledge of medical records organization, terminology, and disease processes
- Strong clinical assessment and critical thinking skills
- Medical record abstracting skills
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