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Senior Clinical Review Nurse - CA

VirtualVocations
Tamarac, Florida, United States
Full-time

A company is looking for a Senior Clinical Review Nurse - Concurrent Review.Key Responsibilities : Perform complex concurrent reviews of members for appropriate care and settingReview and assess quality and continuity of care, discharge planning, and transfer plansCollaborate with healthcare providers, leadership, and care management to improve care quality and appropriatenessRequired Qualifications : Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing4-6 years of related experience, with 2+ years of acute care experienceLPN - Licensed Practical Nurse - State Licensure requiredAdvanced clinical knowledge and ability to determine overall health and appropriate level of care preferredStrong knowledge of Medicare and Medicaid regulations and utilization management processes preferred

5 days ago
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