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
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