Florida Licensed Clinical Review Nurse

A company is looking for a Clinical Review Nurse - Concurrent Review.

Key Responsibilities

Performs concurrent reviews to determine members' overall health and appropriate level of care

Reviews quality and continuity of care, including acuity level, resource consumption, and discharge planning

Collaborates with healthcare providers and assists with education on utilization processes

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 of acute care experience required

Clinical knowledge to determine overall health and treatment needs preferred

Knowledge of Medicare and Medicaid regulations preferred

LPN or RN - FL State Licensure required