LA Licensed Clinical Review NurseVirtualVocations • Columbus, Ohio, United States
LA Licensed Clinical Review Nurse
VirtualVocations • Columbus, Ohio, 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 • Columbus, Ohio, United States
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