New York RN Clinical Review Nurse

A company is looking for an RN Clinical Review Nurse - Concurrent Review.\n\nKey Responsibilities\n\nPerforms concurrent reviews to determine overall health and appropriate level of care for members\n\nReviews quality and continuity of care, including acuity level and discharge planning\n\nCollaborates with healthcare providers and assists in approving medical determinations based on concurrent review findings\n\nRequired Qualifications\n\nGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing\n\n2 - 4 years of related experience, with 2+ years in acute care required\n\nCurrent NY RN Licensure\n\nClinical knowledge to determine overall health and treatment needs preferred\n\nKnowledge of Medicare and Medicaid regulations preferred