Remote RN Clinical Reviewer
Company: VirtualVocations
Location: Largo
Posted on: April 5, 2025
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Job Description:
A company is looking for a Clinical Reviewer - RN (Remote U.S.)
to join their team.
Key Responsibilities
Review and interpret patient records to determine medical necessity
and appropriateness of care
Initiate referrals to physician consultants and process their
decisions, ensuring detailed documentation of denials
Ensure accurate and timely submission of all administrative and
review-related documents
Required Qualifications
Active, unrestricted Registered Nurse (RN) License, or an RN
compact state license
Associate's, Bachelor's degree (or Diploma) in Nursing
2+ years of clinical experience in an acute or med-surgical
environment
1+ years of experience in Utilization Review (UR), Utilization
Management (UM), or Prior Authorization
1+ years of knowledge of medical records, medical terminology, and
disease process organization
Keywords: VirtualVocations, Sarasota , Remote RN Clinical Reviewer, Healthcare , Largo, Florida
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