A company is looking for a NICU - Clinical Review Nurse - Concurrent Review.
Key Responsibilities
Perform concurrent reviews to assess member health and care appropriateness
Evaluate quality and continuity of care, including discharge planning
Collaborate with healthcare providers and leadership to improve care quality
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 at least 2 years in acute care
Active nursing licensure (LPN or RN as applicable)
Clinical knowledge of treatment needs and care levels preferred
Understanding of Medicare and Medicaid regulations preferred
Nurse Nicu • Oxnard, California, United States