Indiana Licensed Clinical Reviewer

A company is looking for a Clinical Reviewer - LPN/LVN or RN - PRN. Key Responsibilities Review medical records for accuracy and compliance with contract requirements Manage daily workload and adjust schedules to meet departmental demands Collaborate with supervisors on quality monitoring and maintain knowledge of clinical practices Required Qualifications Active, unrestricted LPN/LVN or RN license in Indiana or a Compact state Associate's degree or Practical/Professional nursing diploma from an accredited institution Minimum of 2+ years of Utilization Review/Management and/or Prior Authorization experience Minimum of 1+ years of experience with InterQual criteria and/or Milliman Care Guidelines Knowledge of medical records, terminology, and disease processes

Created: 2026-03-05