Colorado Licensed Clinical Reviewer

A company is looking for a Clinical Reviewer (Remote - Colorado). Key Responsibilities Review requests for services for adherence to clinical criteria and related requirements Issue approvals, denials, or recommendations based on contract requirements Complete documentation of activities within contract systems and communicate with relevant parties Required Qualifications and Education High School Degree or equivalent required Minimum 1 year of clinical experience required LPN, RN, LCSW, or related licensure preferred based on contract requirements Master's degree in Social Work, Mental Health, or related field OR an active LPN or RN License Minimum 1-2 years of experience working with individuals with serious mental illness or chronic medical conditions

Apr 2, 2025 - 17:59
 0
Colorado Licensed Clinical Reviewer
A company is looking for a Clinical Reviewer (Remote - Colorado). Key Responsibilities Review requests for services for adherence to clinical criteria and related requirements Issue approvals, denials, or recommendations based on contract requirements Complete documentation of activities within contract systems and communicate with relevant parties Required Qualifications and Education High School Degree or equivalent required Minimum 1 year of clinical experience required LPN, RN, LCSW, or related licensure preferred based on contract requirements Master's degree in Social Work, Mental Health, or related field OR an active LPN or RN License Minimum 1-2 years of experience working with individuals with serious mental illness or chronic medical conditions