Clinical Reviewer

VirtualVocations; Arvada (CO); Remote; USD 50,000 - 70,000; Full time

Job summary

An innovative company is seeking a Clinical Reviewer to join their remote team. This role involves conducting clinical reviews, issuing approvals or denials based on clinical criteria, and documenting activities within contract systems. The ideal candidate will have a strong background in mental health and clinical experience, with the ability to navigate multiple healthcare systems effectively. This position offers an exciting opportunity to contribute to meaningful assessments and recommendations in the healthcare field, making a significant impact on patient care.

Qualifications

• 1+ years of clinical experience required; LPN, RN, LCSW preferred.
• Proficiency in navigating healthcare systems is essential.

Responsibilities

• Conduct clinical reviews and determine the need for assessments.
• Document activities and communicate with stakeholders.

Skills

Clinical Review

Mental Health Knowledge

Healthcare System Navigation

Education

High School Degree

Master's Degree in Social Work

Job description

A company is seeking a Clinical Reviewer (Remote) to join their team.

Key Responsibilities

1. Conduct clinical reviews of Level I PASRR screens and determine the need for comprehensive assessments.
2. Issue approvals, denials, or recommendations based on clinical criteria and contract requirements.
3. Document activities within contract systems and communicate with relevant stakeholders.

Required Qualifications

• High School Degree or equivalent required.
• Minimum of 1 year of clinical experience required; LPN, RN, LCSW, or related licensure preferred.
• Master's Degree in Social Work, Mental Health, or related degree program preferred.
• Minimum of 2 years clinical experience in mental health.
• Proficiency in navigating multiple healthcare systems.