Oregon Licensed Clinical Review Nurse

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

Key Responsibilities

Performs concurrent reviews to determine overall health and appropriate level of care for members

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

Collaborates with healthcare providers and medical directors to discuss member care and provides education on utilization processes

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 member's overall health and treatment needs

Knowledge of Medicare and Medicaid regulations preferred

RN compact license preferred; LPN state licensure required