Clinical Review Specialist

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $25 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

🔍🏥 Medical Reviewer

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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