RN Clinical Reviewer, MN License

About the Role

Acentra Health seeks an RN Clinical Reviewer licensed in Minnesota to perform remote medical record reviews ensuring compliance with contract requirements.

Key Responsibilities

• Review medical records for accuracy and timeliness.
• Manage workload and adjust schedules to meet demands.
• Collaborate with supervisors on quality monitoring.
• Serve as liaison for provider customer service.
• Attend trainings and cross-train for flexibility.
• Adhere to HIPAA and corporate policies.

Requirements

• Active unrestricted RN license in Minnesota (non-compact).
• Bachelor's degree in related field.
• Minimum 5 years clinical experience.
• Preferred utilization review experience.

Benefits & Compensation

• Pay range $28.37 to $39.19 per hour.
• Comprehensive health plans, PTO, retirement savings, wellness programs, educational assistance.

Work Schedule

• Remote position.
• Call, weekend, and night requirements not specified.