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Clinical Reviewer - LPN/LVN/RN

7/8/2025

N/A

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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