Clinical Review Nurse - NM Licensed

VirtualVocations
Littleton, Colorado, United States
Full-time

A company is looking for a Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate the quality of care for members.

Key ResponsibilitiesPerform concurrent reviews to assess member health and appropriate level of careDocument review findings and collaborate with healthcare providers on medical determinationsProvide education to providers on utilization processes and improve care qualityRequired Qualifications and EducationGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experience, with 2+ years in acute careKnowledge of Medicare and Medicaid regulations preferredKnowledge of utilization management processes preferredLPN - Licensed Practical Nurse - State Licensure required

8 days ago
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