Texas Licensed Clinical Review Nurse
VirtualVocationsPasadena, Texas, United Statesjob_description.job_card.30_days_ago
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A company is looking for a Clinical Review Nurse - Concurrent Review.
Key Responsibilities
Perform concurrent reviews to assess member health and appropriate level of care
Review quality and continuity of care, including acuity levels and discharge planning
Collaborate with healthcare providers and Medical Affairs on care determinations and recommendations
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 2+ years in acute care required
Compact RN or LVN / LPN License required
Knowledge of Medicare and Medicaid regulations preferred
Familiarity with utilization management processes preferred
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Clinical Review Nurse • Pasadena, Texas, United States
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