Jun 02, 2023
Clinical Reviewer (Remote) Are you an experienced Clinical Reviewer looking for a new challenge? Do you value care management and quality improvement ? Are you motivated , energetic , and excited to become part of the Kepro team? If so, you might be our next new team member! Note: This position is a part-time, PRN position. Work can be performed from home. Who we need: The Clinical Reviewer utilizes 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. Why us? 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...
Keystone Peer Review Organization
Remote * (Philadelphia, PA, USA)