New York RN Clinical Review Nurse
- Full-time
A company is looking for an RN Clinical Review Nurse - Concurrent Review.
Key Responsibilities
Performs concurrent reviews to determine overall health and appropriate level of care for members
Reviews quality and continuity of care, including acuity level and discharge planning
Collaborates with healthcare providers and assists in approving medical determinations based on concurrent review findings
Required Qualifications
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
Current NY RN Licensure
Clinical knowledge to determine overall health and treatment needs preferred
Knowledge of Medicare and Medicaid regulations preferred
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New York New York • Savannah, Georgia, United States