Clinical Reviewer

VirtualVocations; Tamarac (FL); Remote; USD 45,000 - 75,000; Full time

Job summary

An innovative company is looking for a Clinical Reviewer to work remotely. In this role, you will conduct clinical reviews and determine the need for comprehensive assessments. You will issue approvals and recommendations based on clinical criteria while documenting activities within contract systems. This position offers an opportunity to make a significant impact in the healthcare field, working collaboratively with various stakeholders. If you have a passion for clinical work and a desire to improve healthcare outcomes, this role is perfect for you.

Qualifications

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

Responsibilities

• Conduct clinical reviews of Level I PASRR screens.
• Issue approvals, denials, or recommendations based on clinical criteria.

Skills

Clinical Review

Healthcare Systems Navigation

Communication Skills

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.