Illinois/South Dakota Licensed Clinical Reviewer, LPN

Job Summary

A company is looking for a Clinical Reviewer, LPN (Remote).

Key Responsibilities

• Review requests for services including admissions, discharges, and continued stays 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 stakeholders

Required Qualifications

• Current Licensed Practical Nurse (LPN) license valid in Illinois or South Dakota
• High School Degree or equivalent
• Minimum 2 years of clinical experience
• Active LPN license valid in Illinois or South Dakota; compact licenses accepted