Job Description
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Title: Clinical Reviewer
Location: McLean, VA 22102
Duration: 3 Months Contract + Extension
Job Description:
Terms of Employment
- W2 Contract, 3 Months
- Location: Remote
- Candidates must reside within the State of Oregon or bordering geographies
Overview
- The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements to determine medical appropriateness.
Responsibilities:
- Assures accuracy and timeliness of all applicable review type cases within contract requirements
- Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department
- In collaboration with Supervisor, responsible for quality monitoring activities
- Maintains current knowledge base related to review processes and clinical practices
- Functions as providers' liaison for customer service issues and problem resolution
- Performs all applicable review types as workload indicates
- Fosters positive and professional relationships with internal and external customers
- Attends training and scheduled meetings for current/updated information
- Cross trains to provide flexible workforce to meet client/customer needs
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules
Required Skills & Experience
- Bachelor's degree from an accredited college or university in a related field
- 2+ years of experience in Utilization Management or Clinical Review
- Active and unrestricted Registered Nurse (RN) license for Oregon
- Ability to be licensed for the State of Nebraska, if you don't currently hold a compact license
Preferred Skills & Experience
- Case management experience
- Knowledge of medical records, medical terminology, and disease processes
- Strong clinical assessment and critical thinking skills
- Excellent written and verbal communication skills
Sincerely,
Preetam Raj
Lead Technical Recruiter
nTech Workforce Inc.
D: 410-505-4857 EXT: 726
E: [email protected]
preetam(at)ntechworkforce(dot)com
Job Tags
Contract work, Flexible hours,