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Clinical Review Nurse - NY Licensed

VirtualVocations
Oakland, California, United States
Full-time

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

Key ResponsibilitiesConduct 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 assist with discharge planningRequired QualificationsGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experience, with 2+ years in acute careLicensure as a Licensed Practical Nurse (LPN) or Registered Nurse (RN) requiredKnowledge of Medicare and Medicaid regulations preferredFamiliarity with utilization management processes preferred

1 day ago
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