Indiana Licensed Clinical Review NurseVirtualVocations • Pasadena, Texas, United States
Indiana Licensed Clinical Review Nurse
VirtualVocations • Pasadena, Texas, United States
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
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
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Clinical Review Nurse • Pasadena, Texas, United States
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