Virginia Licensed Lead Clinical Reviewer

A company is looking for a Lead Clinical Reviewer to join their team.

Key Responsibilities

Review medical records against criteria to determine medical appropriateness

Guide team members and support training and documentation efforts

Conduct quality monitoring and audits, identifying areas for improvement

Required Qualifications

Active and unrestricted license as a Mental Health Professional in Virginia

Master's degree from an accredited college in a relevant program

2+ years of experience in Prior Authorization, Utilization Review, or Utilization Management