Remote Clinical Review Lead (RN/LPN) – Workers’ Comp

Maximus

Cheyenne (WY)

Remote

USD 36,000 - 51,000

Full time

6 days ago
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Benefits offered by this job

Work/Life Balance
Comprehensive Insurance Coverage
401K Retirement Savings
Paid Time Off
Wellness Program
Discounts and perks
Tuition Reimbursement
Professional Development
Remote work environment

Job summary

Maximus is seeking a Lead Coordinator - Clinical Review (LPN/RN) for our fully remote CA IMR team. You will review medical records, interpret clinical data, and prepare concise summaries for expert review, leveraging your nursing experience in a non-bedside capacity.

Responsibilities include ensuring sufficiency of documentation for summaries, reviewing treatments, and validating specialty designations while maintaining clear written communication and adherence to guidelines.

Qualifications

  • Review medical documentation to support clinical summary creation.
  • Produce clear, grammatically accurate summaries for expert review.
  • Review treatments for accurate entry and escalation when needed.

Responsibilities

  • Review medical documentation to ensure sufficiency for clinical summary template.
  • Complete clinical summary template.
  • Review requested treatments for accurate entry.
  • Review expert specialty designation for accuracy; escalate as needed.
  • Perform other duties as assigned.

Skills

Clinical review
Medical records
Clinical summaries
Written communication
MS Office

Education

LPN or RN license

Tools

Microsoft Word
Microsoft Excel
PowerPoint
Outlook

Job description

Maximus is seeking a Lead Coordinator - Clinical Review (LPN/RN) for our fully remote CA IMR team. You will review medical records, interpret clinical data, and prepare concise summaries for expert review, leveraging your nursing experience in a non-bedside capacity.

Responsibilities include ensuring sufficiency of documentation for summaries, reviewing treatments, and validating specialty designations while maintaining clear written communication and adherence to guidelines.

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