Clinical Review Nurse - LPN RN
Company: VirtualVocations
Location: Jamaica
Posted on: November 20, 2024
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Job Description:
A company is looking for a Clinical Review Nurse - Concurrent
Review to perform concurrent reviews and evaluate member care.
Key Responsibilities
Perform concurrent reviews to assess member health and appropriate
level of care
Collaborate with healthcare providers to approve medical
determinations and discharge plans
Document findings and provide feedback on opportunities to improve
care quality
Required Qualifications, Training, and Education
Graduate from an Accredited School of Nursing or Bachelor's degree
in Nursing
2 - 4 years of related experience, including 2+ years of acute care
experience
Active LPN or RN licensure required
Knowledge of Medicare and Medicaid regulations preferred
Experience in utilization management processes preferred
Keywords: VirtualVocations, Hamilton , Clinical Review Nurse - LPN RN, Healthcare , Jamaica, New Jersey
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