GENERAL SUMMARY OF POSITION:
Under the general supervision of the Associate Director, or designee, the Clinical Reviewer II is responsible for case consultation by reviewing medical records, assessing the client’s needs, and provide resource support for program participants/applicants. This position ensures that eligible individuals are referred to and receive appropriate services based on medical necessity determinations and program regulations.
Extensive experience with program related services/populations. This would include pediatric, brain injury, DME, therapy services, orthotics, prosthetics, PCA and ADLs.