North Carolina Licensed Clinical Review Nurse
VirtualVocationsSioux Falls, South Dakota, United Statesjob_description.job_card.30_days_ago
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A company is looking for a Clinical Review Nurse - Concurrent Review.
Key Responsibilities
Perform concurrent reviews to determine member's overall health and appropriate level of care
Review quality and continuity of care, including acuity level and discharge planning
Collaborate with healthcare providers and leadership to improve care quality and compliance with policies
Required Qualifications
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
Current LPN license required
Clinical knowledge to assess member health and treatment needs preferred
Knowledge of Medicare and Medicaid regulations preferred
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Clinical Review Nurse • Sioux Falls, South Dakota, United States
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