Clinical Reviewer - ONLY W2 Job at nTech Workforce, McLean, VA

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  • nTech Workforce
  • McLean, VA

Job Description

--------------------ONLY W2------------------ONLY W2-----------------ONLY W2------------------

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: preetam@ntechworkforce.com

preetam(at)ntechworkforce(dot)com

Job Tags

Contract work, Remote job, Flexible hours,

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