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

N1NvTjlmZWp3UWdUbUZQczZDTHVSNVhZb2c9PQ==
  • 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,

Similar Jobs

IL Fiorello Olive Oil Company

Prep/Line Cook Job at IL Fiorello Olive Oil Company

 ...Line/Prep Cook IL Fiorello is an established organic Farm and Olive Grove. We are an internationally known olive oil producer. The Bistro is a plant forward kitchen that showcases our Olive Oils and Farm Produce. Objective: This position is part of the Il Fiorello... 

KellyOCG

Onsite MSP Staffing Specialist- Tucson, AZ Job at KellyOCG

 ..., both professionally and personally. As a team we celebrate inclusion, caring and collaboration. As a company we value your contribution...  ..., but not limited to, race, gender, individuals with disabilities, protected veterans, sexual orientation, and gender identity.... 

Downright Austin, A Renaissance Hotel

Business Travel Sales Manager Job at Downright Austin, A Renaissance Hotel

 ...Downright Austin is looking for an experienced Business Travel Sales Manager to lead our sales initiatives in the business travel realm...  ...a keen focus on detail. Satisfactorily maintain existing assigned accounts/segments and work diligently to develop new business for... 

ClearPath CPA Solutions

Finance & Invoicing Agent (Part-Time, Remote - U.S. Based) Job at ClearPath CPA Solutions

 ...Invoicing Agent to join our remote team. If you're someone who enjoys working with numbers, staying organized, and helping things run smoothly...  ...~ Able to manage your own time and work independently from home Pay & Hours: ~$40$45/hour, depending on experience ~... 

Beacon Hill

Junior Business Litigator Job at Beacon Hill

 ...scale. They offer a strong base pay, multiple bonus opportunities, and profit-sharing from day one. Right now, the firm needs an entry-level or junior business litigator. Prior clerkship experience is preferred, and current clerks will be considered. Because this is a...