A company is looking for a Clinical Reviewer (LCPC or LCSW) to work remotely within the state of Maine.
Key Responsibilities Conduct comprehensive medical record reviews to ensure compliance with clinical criteria and contract requirements Manage daily workloads and review queues to meet departmental demands Participate in quality monitoring and continuous improvement initiatives in collaboration with the Supervisor Required Qualifications, Training, and Education Active, unrestricted Licensed Clinical Professional Counselor (LCPC) or Licensed Clinical Social Worker (LCSW) required Familiarity with public sector healthcare services and support systems Working knowledge of medical records and medical terminology Ability to document and articulate clinical findings clearly