New York Licensed Clinical Review Nurse
- Full-time
A company is looking for a Clinical Review Nurse - Concurrent Review.
Key Responsibilities
Performs concurrent reviews to evaluate member health and appropriateness of care
Reviews quality and continuity of care, including discharge planning and resource consumption
Collaborates with healthcare providers and leadership to improve care quality and compliance with clinical policies
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
Knowledge of Medicare and Medicaid regulations preferred
Knowledge of utilization management processes preferred
LPN or RN state licensure required or preferred, respectively
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Clinical Review Nurse • Saint Petersburg, Florida, United States