Remote Clinical Review Lead (RN/LPN)

Maximus; Montpelier (VT); Remote; USD 36.000 - 51.000; Vollzeit

Benefits dieser Stelle

Remote work

401k matching

Paid PTO

Tuition reimbursement

Zusammenfassung

Maximus is seeking a Lead Coordinator - Clinical Review (LPN/RN) to join the California Independent Medical Review team. This fully remote, non-bedside role requires nursing experience to review medical records, identify key clinical information, and prepare clear summaries for expert review.

You will evaluate documentation, complete clinical summary templates, and ensure accurate treatment entries while supporting ongoing professional development and a strong, inclusive workplace culture.

Qualifikationen

• High School Diploma and 2 years clinical experience required; Associate degree preferred or equivalent combination of education or experience.

Aufgaben

• Review medical documentation to ensure sufficiency to allow for completion of clinical summary template.
• Complete clinical summary template.
• Review requested treatments to ensure accurate entry.
• Review expert specialty designation for accuracy; escalate case for any questions/concerns outside normal case processing.
• Perform other duties as assigned.

Kenntnisse

Written communication

MS Word

MS Excel

MS PowerPoint

MS Outlook

Ausbildung

LPN or RN license

High School Diploma

Associate degree (preferred)

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Jobbeschreibung

Maximus is seeking a Lead Coordinator - Clinical Review (LPN/RN) to join the California Independent Medical Review team. This fully remote, non-bedside role requires nursing experience to review medical records, identify key clinical information, and prepare clear summaries for expert review.

You will evaluate documentation, complete clinical summary templates, and ensure accurate treatment entries while supporting ongoing professional development and a strong, inclusive workplace culture.