A company is looking for a Clinical Reviewer - (SCA - Remote).
Key Responsibilities Ensure accuracy and timeliness of review cases in accordance with contract requirements Assess and manage daily workload and call queues, adjusting schedules as needed Collaborate with supervisors to monitor quality and identify areas for improvement Required Qualifications Active, unrestricted LPN or RN license in the applicable state or a Compact State license Knowledge of medical records organization, medical terminology, and disease processes Strong clinical assessment and critical thinking skills Medical record abstracting skills 2+ years of clinical experience in a hospital or post-acute environment