Remote Clinical Reviewer (RN)

Job Summary

A company is looking for a Clinical Reviewer (RN - Remote - SCA).

Key Responsibilities

• Assures accuracy and timeliness of all applicable review type cases within contract requirements
• Assesses and adjusts daily workload and call queues to meet departmental demands
• Maintains current knowledge related to review processes and serves as a resource for nurse reviewers

Required Qualifications

• Active unrestricted LPN, RN, or Social Worker license required
• For LPN - Associate's degree or Practical nursing diploma/certificate
• For RN or SW - Bachelor's Degree from an accredited college or university in a related field
• Must be able to work a schedule of 11:00am to 8:00pm EST
• Knowledge of medical records, medical terminology, and disease processes required