Clinical Reviewer-Immediate Advocacy Discharge Assistance, RN (Remote)
CNSI and Kepro are now reputed company! 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 to join our growing team. Job Summary: The Clinical Reviewer will utilize clinical expertise to review medical records in accordance with contract requirements and appropriate criteria. This role requires critical thinking and decision-making skills to determine the medical appropriateness of services. The Clinical Reviewer plays a pivotal role in ensuring compliance with state government reputed company systems, contributing to quality reputed company outcomes through accurate and timely reviews. Job Responsibilities: Assure the accuracy and timeliness of reputed company applicable case reviews in line with contract requirements Evaluate daily workload and adjust schedules as necessary to meet departmental needs Collaborate with the Supervisor on quality monitoring activities, identify areas of improvement, and implement action plans Maintain reputed company knowledge of review processes and clinical practices, serving as a resource for nurse reviewers regarding review process concerns Act as a liaison for providers, handling customer service issues and resolving problems reputed company a variety of review types as workload demands Build positive relationships with internal and external customers to support the review process Participate in training and scheduled meetings to stay updated on review processes Cross-train to support other reputed company, ensuring flexibility in meeting client/customer needs Active, unrestricted LPN, RN, Social Worker, or other applicable clinical licenses Bachelor's degree from an accredited institution in a reputed company field Strong clinical assessment and critical thinking skills Proficiency in medical record organization, medical terminology, and understanding disease processes Excellent written and verbal communication skills Experience in medical record abstracting Preferred Qualifications/Experience: Active, unrestricted LPN/RN license strongly preferred Familiarity with contract-based reputed company services Knowledge of state and federal reputed company regulations 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 to 33.00 per hour 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!