North Carolina Licensed Clinical Review Nurse

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