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Clinical Review Nurse - LPN

VirtualVocations
Durham, North Carolina, United States
Full-time

A company is looking for a Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate member care.

Key ResponsibilitiesPerform concurrent reviews to assess member health and appropriate level of careCollaborate with healthcare providers and document findings in health management systemsProvide education to providers on utilization processes and discharge planningRequired Qualifications and EducationGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experience, including 2+ years of acute care experienceLPN licensure required;

RN license required for Health Net of CaliforniaKnowledge of Medicare and Medicaid regulations preferredFamiliarity with utilization management processes preferred

12 days ago
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