Acentra Health

Clinical Reviewer - RN/LPN/LVN

Acentra Health

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Location

United States

Job Type

PARTTIME

Remote

Yes

Role Type

LPN/LVN

Job Description

A company is looking for a Clinical Reviewer - LPN/LVN or RN - PRN (Remote U.S.). Key Responsibilities • Review and interpret patient records to assess medical necessity and appropriateness of care • Approve services or refer cases to a physician consultant and process decisions • Continuously evaluate the review process to identify opportunities for improvement Required Qualifications • Active, unrestricted license as a Registered Nurse (RN), Licensed Practical Nurse (LPN), or Licensed Vocational Nurse (LVN) • Graduation from an accredited nursing program (Diploma, Associate, Bachelor or higher-level Degree) • 2+ years of clinical experience in an acute or med-surgical environment

Key Responsibilities

  • Review and interpret patient records to assess medical necessity and appropriateness of care
  • Approve services or refer cases to a physician consultant and process decisions
  • Continuously evaluate the review process to identify opportunities for improvement

Qualifications

  • Active, unrestricted license as a Registered Nurse (RN), Licensed Practical Nurse (LPN), or Licensed Vocational Nurse (LVN)
  • Graduation from an accredited nursing program (Diploma, Associate, Bachelor or higher-level Degree)
  • 2+ years of clinical experience in an acute or med-surgical environment

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