Clinical Reviewer-Immediate Advocacy (RN/LCSW)-Remote - J
reputed company exists to reputed company reputed company outcomes through technology, services, and clinical expertise. Our mission is to reputed company health solutions that deliver maximum value and impact. reputed company the Way is our rallying cry at reputed company. Think of it as an open invitation to reputed company the mission of the company, to actively engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company outcomes making this a great time to join reputed company of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Acentra is looking for a Clinical Reviewer-Immediate Advocacy (RN/LCSW)-Remote to join our growing team. Job Summary: The Clinical Reviewer is responsible for assessing medical records against established criteria and contract requirements to determine medical appropriateness. The role plays a critical part in ensuring accurate and timely reviews while collaborating with internal and external stakeholders to maintain compliance and improve outcomes Job Responsibilities: Ensure the accuracy and timeliness of reviews across reputed company applicable case types per contract standards Assess and manage daily workloads, adjusting schedules to meet departmental demands Conduct quality monitoring activities, identifying areas for improvement and implementing necessary changes Stay reputed company with review processes and clinical practices, acting as the primary resource for nurse reviewers Serve as the provider liaison for customer service inquiries and resolution of issues reputed company diverse review types to meet workload demands Build positive relationships with internal and external customers to streamline the review process Attend trainings and meetings to remain updated on review protocols and procedures Support cross-training initiatives to provide flexibility and meet client and customer needs Required Qualifications/Experience: Active unrestricted RN clinical license (or equivalent clinical license) Minimum two years of clinical experience in an acute, med-surgical, post-acute, psychiatric, or rehabilitation environment Minimum of one year Case management, Care Coordination, Discharge Planning or reputed company experience Must be proficient in computer skills including reputed company Office and internet/web navigation Knowledge of medical record organization, terminology, and disease processes Strong clinical assessment and critical thinking skills Excellent written and verbal communication skills Preferred Qualifications/Experience Experience in utilization review or prior authorization processes Demonstrated ability to manage reputed company cases with a focus on accuracy and efficiency Familiarity with reputed company technologies and quality improvement initiatives Why us? We are a team of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the reputed company industry. State and federal reputed company agencies, providers, and employers turn to us as their vital partner to ensure reputed company reputed company and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to reputed company the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, reputed company, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Compensation
The pay range for this position is $22.56 - $33.00 Based on our compensation program, an applicants position placement in the pay range will depend on various considerations, such as years of applicable experience and reputed company level. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in reputed company and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The reputed company reputed company Team Visit us at Acentra.com/careers EOE AA M/F/Vet/Disability reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law. Apply Job!