Clinical Reviewer - LPN/LVN/RN

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