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Clinical Review Nurse - LPN

VirtualVocations
Downey, California, United States
Full-time

A company is looking for a Clinical Review Nurse - Concurrent Review to perform Medicaid reviews and evaluate member care.

Key ResponsibilitiesPerform concurrent reviews to assess member health and appropriate level of careCollaborate with healthcare providers and document findings in health management systemsProvide education to providers on utilization processes and ensure timely discharge planningRequired Qualifications and EducationGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experience, with at least 2 years of acute care experienceCurrent LPN - Licensed Practical Nurse - State Licensure requiredKnowledge of Medicare and Medicaid regulations preferredFamiliarity with utilization management processes preferred

11 hours ago
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