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Clinical Review Nurse - LPN RN

Company: VirtualVocations
Location: Jamaica
Posted on: November 20, 2024

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, Hempstead , Clinical Review Nurse - LPN RN, Healthcare , Jamaica, New York

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