A company is looking for a Clinical Review Nurse - Concurrent Review.
Key Responsibilities
Perform concurrent reviews to determine members' overall health and appropriate level of care
Review quality and continuity of care, including acuity level and discharge planning
Collaborate with healthcare providers and Medical Affairs to discuss member care and approve medical determinations
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
Active Florida nursing license or compact license valid in Florida
Concurrent review experience in a managed care or hospital / facility setting
Clinical background in critical care, ER, or ICU preferred
Licensed Nurse • Laredo, Texas, United States