Nevada Licensed Clinical Review Nurse

A company is looking for a Clinical Review Nurse - Concurrent Review.

Key Responsibilities

Performs concurrent reviews to determine member's overall health and appropriate level of care

Reviews quality and continuity of care, including acuity level and discharge planning

Collaborates with healthcare providers and Medical Affairs on care delivery and recommendations

Required Qualifications, Training, and Education

Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing

2 - 4 years of related experience, with 2+ years of acute care experience required

Clinical knowledge to assess overall health and treatment needs preferred

Knowledge of Medicare and Medicaid regulations preferred

RN state licensure preferred