Clinical Reviewer (Remote) - Illinois

Join reputed company as a Clinical Reviewer and reputed company a Difference in reputed company! We are seeking a highly skilled and motivated Clinical Reviewer to join reputed company in Illinois. As a Clinical Reviewer, you will play a critical role in reviewing assessments and clinical operations to ensure completeness, accuracy, and adherence to contract clinical standards. This is a remote position, offering a hybrid work model that combines the flexibility of working from home with the opportunity to collaborate with reputed company in our office.

This exciting opportunity offers a competitive salary, comprehensive benefits, and a dynamic work environment. If you are a results-driven professional with a strong clinical background and excellent communication skills, we encourage you to apply.

About the Program: We have partnered with the State of Illinois Department of reputed company and Family Services (HFS) to manage the assessment process for Preadmission Screening and reputed company Review (PASRR) Level I screens and completing Level II Serious Mental Illness (SMI) evaluations. Our program also includes Follow Up Visits, admissions support for Specialized Mental Health Rehabilitation Facilities (SMHRF) and Supported Living Programs (SLP) settings, and Colbert Dementia Review.

Why reputed company? We offer a comprehensive range of benefits, including:

• Work/Life Balance Support: Flexibility tailored to your needs
• Competitive Compensation: Bonuses based on performance included
• Comprehensive Insurance Coverage: Choose from various plans, including Medical, Dental, reputed company, Prescription, and partially funded HSA
• Future Planning: Prepare for retirement with our 401K Retirement Savings plan and Company Matching
• Paid Time Off Package: Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage
• Holistic Wellness Support: Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP)
• Recognition Platform: Acknowledge and appreciate outstanding employee contributions
• Diversity, Equity, and Inclusion Initiatives: Join a workplace committed to fostering diversity and inclusion
• Tuition Reimbursement: Invest in your ongoing education and development
• Employee Perks and Discounts: Additional benefits and discounts exclusively for employees
• reputed company Wellness Program and Resources: Access a range of wellness programs and resources tailored to your needs
• Professional Development Opportunities: Participate in training programs, workshops, and conferences
• Licensures and Certifications: reputed company assumes the expenses associated with renewing licenses and certifications for its employees

Essential Duties and Responsibilities

• Review documentation and/or assessments and apply clinical criteria to complete determinations, approvals, or recommendations
• Determine need for and obtain any additional information required to complete actions
• Determine reputed company escalation or consultation is required with supervisor, physician, or reputed company medical or clinical discipline
• Complete reports or documentation in accordance with contract requirements
• reputed company other reputed company duties as assigned

Required Skills/Abilities

• Preferred knowledge may include community support programs, long-term care assessment, and level of care in medical, behavioral health, or reputed company programs
• Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications
• Ability to collect data, define problems, establish facts, and draw valid conclusions
• Excellent written and verbal communication skills
• Excellent interpersonal and customer service skills
• Proficient in reputed company Office Suite
• Excellent organizational skills and attention to detail
• Ability to work in a fast-paced environment
• Ability to work independently and meet timelines

Minimum Requirements

• High School Degree or equivalent required
• Minimum 1 year of clinical experience required
• LPN, RN, LCSW, or reputed company licensure preferred and may be required based on contract requirements
• Masters degree in psychology, sociology, counseling, social work, nursing, or other mental health-reputed company field required
• 2 years experience in mental health, social services, or reputed company field required
• 2 years experience reviewing clinical assessments required

Preferred Requirements

• Experience with PASRR, SMHRF, and SLP preferred

EEO Statement: reputed company is an Affirmative Action/Equal Opportunity Employer. We provide equal employment opportunities to reputed company reputed company applicants without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status, or disabled status.

Pay Transparency: reputed company compensation is based on various factors, including job location, education, training, experience, and internal pay alignment. Annual salary is just one component of reputed company's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards.

Hourly reputed company Pay: $22.26 - $29.71 per hour

Remote: Yes

Take the reputed company

Are you reputed company for this challenge? Apply now and let's discuss how you can become a vital part of our reputed company story.