is looking for a Clinical Reviewer to join our growing team. Job Summary: The purpose of this position is to review medical records... (LPN) license or Registered Nurse (RN) license for the State of Virginia or compact license (will be required to obtain...
within the RN/LVN/LPN scope of practice, under Medical Director direction, using independent nursing judgement and decision.... What You’ll Be Doing: The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are performed...
: Associates degree in Nursing. Current, unrestricted Nursing License in the state of Hawaii as an RN or LPN. Two years clinical... but not limited to Word, Excel, and Outlook. Currently licensed in Hawaii as an RN or LPN (if applicable upon hire, proof...
. The Admission’s Clinical Reviewer is responsible for the comprehensive medical review and screening of all referrals made... required providing comprehensive nursing care. EDUCATION: Licensed professional required: PT, OT, RN license. PTA, COTA or LPN...
LPN or RN license 4 - 6+ years of relevant, professional, clinical experience Managed care experience Knowledge...Summary of Position Perform clinical and administrative reviews within the Grievance and Appeals department, ensuring...
clinical experience. Experience in provider communication and education preferred. License/Certification: LPN, RN, CPC, CPC-H... & coding, coding/data analysis, accounting/business or physician/hospital data management or RN/LPN and 2+ years of related...
needs. Requirements: Qualifications: RN or LPN license required. Strong background in clinical operations, training.... Provide reviewer training when a Medical Director is unavailable; escalate issues to Medical Directors when appropriate...