Kansas Licensed Clinical Review Nurse

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

Key Responsibilities

Performs concurrent reviews to assess member health and appropriateness of care

Reviews quality and continuity of care, including acuity levels and discharge planning

Collaborates with healthcare providers and Medical Affairs to validate care decisions

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 in acute care required

Licensed Practical Nurse (LPN) state licensure required

Clinical knowledge to assess member health and treatment needs preferred

Knowledge of Medicare and Medicaid regulations preferred