LPN/RN Clinical Reviewer
A company is looking for a Clinical Reviewer - Utilization Management/Review - LPN/RN (Remote U.S.).
Key Responsibilities
Review medical records against criteria to determine medical appropriateness
Assess and manage daily workload and queues, adjusting schedules as needed
Monitor quality and implement improvement plans in collaboration with supervisors
Required Qualifications
Active unrestricted LPN or RN license from the state of residence
1+ years of experience in Utilization Management/Utilization Review
Knowledge of medical records organization, terminology, and disease processes
Strong clinical assessment and critical thinking skills
Medical record abstracting skills
A company is looking for a Clinical Reviewer - Utilization Management/Review - LPN/RN (Remote U.S.).
Key Responsibilities
Review medical records against criteria to determine medical appropriateness
Assess and manage daily workload and queues, adjusting schedules as needed
Monitor quality and implement improvement plans in collaboration with supervisors
Required Qualifications
Active unrestricted LPN or RN license from the state of residence
1+ years of experience in Utilization Management/Utilization Review
Knowledge of medical records organization, terminology, and disease processes
Strong clinical assessment and critical thinking skills
Medical record abstracting skills