Clinical Reviewer
A company is looking for a Clinical Reviewer (Remote).
Key Responsibilities
Conduct clinical reviews of Level I PASRR screens and determine the need for comprehensive assessments
Issue approvals, denials, or recommendations based on clinical criteria and contract requirements
Document activities within contract systems and communicate with relevant stakeholders
Required Qualifications
High School Degree or equivalent required
Minimum of 1 year of clinical experience required; LPN, RN, LCSW, or related licensure preferred
Master's Degree in Social Work, Mental Health, or related degree program preferred
Minimum of 2 years clinical experience in mental health
Proficiency in navigating multiple healthcare systems
A company is looking for a Clinical Reviewer (Remote).
Key Responsibilities
Conduct clinical reviews of Level I PASRR screens and determine the need for comprehensive assessments
Issue approvals, denials, or recommendations based on clinical criteria and contract requirements
Document activities within contract systems and communicate with relevant stakeholders
Required Qualifications
High School Degree or equivalent required
Minimum of 1 year of clinical experience required; LPN, RN, LCSW, or related licensure preferred
Master's Degree in Social Work, Mental Health, or related degree program preferred
Minimum of 2 years clinical experience in mental health
Proficiency in navigating multiple healthcare systems