Illinois/South Dakota Licensed Clinical Reviewer, LPN

Konsus, Inc. (Superside); United States; Remote; USD 60,000 - 75,000; Full time

Job summary

A healthcare company is seeking a Remote Clinical Reviewer, LPN to evaluate service requests against clinical criteria. The successful candidate will ensure adherence to policies by issuing approvals or denials while communicating with stakeholders. Candidates must hold a valid LPN license in Illinois or South Dakota, with a minimum of 2 years of clinical experience.

Qualifications

• Current LPN license valid in Illinois or South Dakota.
• Minimum 2 years of clinical experience.
• Compact licenses accepted.

Responsibilities

• Review requests for services for adherence to clinical criteria.
• Issue approvals, denials, or recommendations based on requirements.
• Complete documentation within contract systems.

Skills

Clinical Review

Documentation

Communication

Education

High School Degree or equivalent

Job description

A company is looking for a Clinical Reviewer, LPN (Remote).

Key Responsibilities

• Review requests for services including admissions, discharges, and continued stays for adherence to clinical criteria and policies
• Issue approvals, denials, or recommendations based on contract requirements
• Complete documentation of activities within contract systems and communicate with relevant stakeholders

Required Qualifications

• Current Licensed Practical Nurse (LPN) license valid in Illinois or South Dakota
• High School Degree or equivalent
• Minimum 2 years of clinical experience
• Active LPN license valid in Illinois or South Dakota; compact licenses accepted