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

d0xwWFZ2b3E3OFBJTXI3VGg4RHJyaUxqRmc9PQ==
  • 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

CORT

Delivery Driver / Furniture Assembler Job at CORT

**Overview**CORT Furniture Rental is **hiring** **immediately** for full-time non-CDL drivers in **Birmingham** !The Delivery Driver works collaboratively as part of the Operations team. You will be responsible for loading furniture and delivering safely to customers'... 

Insight Global

Satellite Laboratory/Test Technician Job at Insight Global

 ...Excellent troubleshooting and problem-solving skills Strong attention to detail and ability to follow precise procedures Good communication skills, both verbal and written Ability to work independently and as part of a team Preferred Qualifications:... 

Ultimate Staffing

Distribution Center / Warehouse Manager - Pharmaceutical Industry Job at Ultimate Staffing

 ...around $6K). This position is based in Norristown, PA Job Duties: Set standards for and supervise direct reports (Warehouse Manager and 2 team leads), as well as 55 indirect reports (warehouse associates). Manage staffing needs, including hiring, training,... 

The Fort

Graphic Designer Job at The Fort

About The Fort The Fort is a premier destination that blends pickleball, lifestyle, dining, and unforgettable events in one dynamic, sun-soaked location. We're driven by creativity, community, and culture and were looking for a designer who shares that energy. Role...

Tavant

Senior Business Analyst Job at Tavant

 .... This is a Full Time position at portland Job Description Independently Work with clients cross functional team for business requirements gathering, analysis and solution design Should be able to translate the gathered business requirements into use cases...