Indiana Licensed Clinical Review Nurse

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

Key Responsibilities

Perform concurrent reviews to assess member health and appropriate care levels

Evaluate quality and continuity of care, including discharge planning and resource consumption

Collaborate with healthcare providers and leadership to improve care quality and compliance with clinical policies

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 at least 2 years in acute care

Active LPN or RN license required, depending on the state

Knowledge of Medicare and Medicaid regulations preferred

Familiarity with utilization management processes preferred