Indiana Licensed Clinical Review Nurse
- Full-time
A company is looking for a Clinical Review Nurse - Concurrent Review.
Key Responsibilities
Perform concurrent reviews to determine member's overall health and appropriate level of care
Review quality and continuity of care, including acuity level and discharge planning
Collaborate with healthcare providers and Medical Affairs to validate medical necessity and care delivery
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 at least 2 years in acute care
Active LPN or RN license required
Knowledge of Medicare and Medicaid regulations preferred
Familiarity with utilization management processes preferred
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Clinical Review Nurse • New York, New York, United States