Clinical Reviewer - LCSW/LCPC - (Remote)
Company: Kepro
Location: San Diego
Posted on: June 25, 2022
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Job Description:
Kepro is a rapidly growing national quality improvement and care
management organization. We work to ensure that over 20 million
people receive the right care, at the right time, in the right
setting. Kepro is seeking resumes for a highly experienced
professional.
Full Time Clinical Reviewer - Remote LCPC or LCSW
This is a remote position, where you can work from home. However
you must live in the state Maine and have an active LCPC and/or
LCSW is required.
Summary DescriptionUtilizes clinical expertise for the review of
medical records against appropriate criteria in conjunction with
contract requirements, critical thinking and decision-making skills
to determine medical appropriateness, while maintaining production
goals and QA standards. Ensures day-to-day processes are conducted
in accordance with NCQA, URAC and other regulatory standards.
Accountabilities
Qualifications
Knowledge, Skills, Abilities
Experience
Mental and Physical RequirementsThe physical demands described here
are representative of those that must be met by an employee to
successfully perform the essential functions of this job.
Reasonable accommodations will be made as required by law in an
attempt to enable an individual with a disability to perform the
essential functions of this job. While performing the duties of
this job, the employee is regularly required to sit for prolonged
periods of time; key and/or control objects; interact extensively
with internal and external customers; occasionally lift and/or move
objects weighing up to 10 pounds; and occasionally travel within
the state.
Kepro offers challenging careers, excellent benefits and
opportunities for advancement. For consideration, please submit
resume and cover letter with salary requirements. Only those
candidates identified for an interview will be contacted. No Phone
Calls Please. Visit our website at www.Kepro.com for more
information on the Kepro Family of Companies.
EOE AA M/F/Vet/DisabilityKepro is an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, or status as a
protected veteran.
Keywords: Kepro, San Diego , Clinical Reviewer - LCSW/LCPC - (Remote), Healthcare , San Diego, California
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