A company is looking for a Clinical Reviewer - LPN / LVN / RN (Remote U.S.) Key Responsibilities Review medical records against criteria to determine medical appropriateness Monitor and adjust daily workload and schedules to meet departmental demands Maintain knowledge of review processes and serve as a resource for nurse reviewers Required Qualifications Active, unrestricted LPN / LVN 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
Clinical Reviewer • Fontana, California, United States