Clinical Review Specialist

🔥 6 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $25 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

🔍🏥 Medical Reviewer

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Banyan Treatment Centers

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2014

👥 B2C

🧘 Wellness

💰 Series unknown on 2023-07

B2C • Wellness

Banyan Treatment Centers is a nationwide network of addiction and mental health treatment facilities that provide a full continuum of evidence-based care, including medical detox, residential inpatient, partial hospitalization, intensive outpatient, outpatient, and telehealth programs. They treat substance use disorders and co-occurring mental health conditions across specialized tracks (veterans, first responders, LGBTQ+, pregnant women, faith-based programs), verify insurance coverage with many major providers, and emphasize individualized clinical treatment, aftercare coordination, and alumni support.

📋 Description

• Review admissions pre-screens to determine clinical and medical appropriateness for treatment • Ensure all clinical and medical screening criteria are met prior to admission approval • Seek medical approval for prospective clients presenting with medical conditions; obtain clinical approval for those with identified psychiatric needs • Communicate with site clinical and medical leaders to support admission decisions and patient safety • Integrate clinical expertise within the multidisciplinary admissions team to promote quality care • Complete timely, accurate tracking and documentation of clinical reviews in Salesforce • Maintain strict confidentiality of all client information in accordance with HIPAA standards

🎯 Requirements

• Active clinical licensure — RN or LPN • Ability to independently assess medical and psychiatric presentation and make sound clinical recommendations • Strong written and verbal communication skills; professional and composed across clinical and cross-functional settings • Availability for evening and weekend coverage as needed • Ability to maintain confidentiality and follow all HIPAA and regulatory guidelines • Experience in behavioral health, substance use treatment, or psychiatric settings (Preferred) • Familiarity with admissions or utilization review processes (Preferred) • Experience with Salesforce or similar CRM documentation platforms (Preferred)

🏖️ Benefits

• Flexible Schedule • Path to Full-Time • Evenings & Weekends as Needed