Clinical Reviewer

VirtualVocations; Vancouver (WA); Remote; USD 60,000 - 75,000; Full time

Job summary

A leading company is seeking a Clinical Reviewer to perform remote clinical reviews, issue approvals based on assessments, and document activities. The role requires clinical experience and proficiency in healthcare systems, making it ideal for qualified healthcare professionals.

Qualifications

• Minimum of 1 year of clinical experience required.
• Master's Degree in Social Work preferred.

Responsibilities

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

Skills

Clinical Experience

Communication

Proficiency in Healthcare Systems

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.