Multi-State Licensed Care Review Clinician

A company is looking for a Care Review Clinician (LVN / LPN).

Key Responsibilities

Assess services for members to ensure optimum outcomes and compliance with regulations

Analyze clinical service requests against evidence-based clinical guidelines

Conduct reviews for prior authorization and collaborate with multidisciplinary teams

Required Qualifications

At least 2 years of healthcare experience, including inpatient review or managed care

Active and unrestricted clinical licensure / certification as required by state regulations

Ability to prioritize and manage multiple deadlines

Experience in hospital acute care or prior authorization is preferred

Multi-state or compact licensure is preferred for specific states