Clinical Review Nurse - Nevada
Company: VirtualVocations
Location: Irvine
Posted on: November 20, 2024
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Job Description:
A company is looking for a Clinical Review Nurse - Concurrent
Review.
Key Responsibilities
Perform concurrent reviews to assess member health and appropriate
level of care
Collaborate with healthcare providers to approve medical
determinations and provide recommendations
Document findings and maintain member medical records in health
management systems
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
Active LPN or RN licensure required
Knowledge of Medicare and Medicaid regulations preferred
Experience in utilization management processes preferred
Keywords: VirtualVocations, Fountain Valley , Clinical Review Nurse - Nevada, Healthcare , Irvine, California
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