State Licensed Clinical Reviewer

A company is looking for a Clinical Reviewer - SCA (Remote).

Key Responsibilities

Ensure accuracy and timeliness of review cases within contract requirements

Assess and manage daily workload and queues, adjusting schedules as needed

Monitor quality activities and identify areas for improvement in collaboration with the Supervisor

Required Qualifications

Active unrestricted LPN, RN, or Social Worker license

Minimum three years of clinical experience in an acute or med-surgical environment

Strong clinical assessment and critical thinking skills

Medical record abstracting skills

Proficient in Microsoft Office and Internet / web navigation