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LA Licensed Clinical Review Nurse

LA Licensed Clinical Review Nurse

VirtualVocationsMission Viejo, California, United States
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A company is looking for a Clinical Review Nurse - Concurrent Review.

Key Responsibilities

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

Review quality and continuity of care, including acuity level and discharge planning

Collaborate with healthcare providers and Medical Affairs to discuss member care and provide recommendations

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

Knowledge of Medicare and Medicaid regulations preferred

Knowledge of utilization management processes preferred

LPN - Licensed Practical Nurse - State Licensure required

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Clinical Review Nurse • Mission Viejo, California, United States

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