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

Mar 13, 2025 - 18:43
 0
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