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Licensed Clinical Review Nurse

Company: VirtualVocations
Location: Gary
Posted on: February 18, 2025

Job Description:

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



Key Responsibilities

Perform concurrent reviews to evaluate member's health, care delivery, and medical necessity
Document and maintain concurrent review findings and discharge plans in health management systems
Collaborate with healthcare providers and care management to ensure appropriate levels of care and timely discharges


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 of acute care experience required
Knowledge of Medicare and Medicaid regulations preferred
Knowledge of utilization management processes preferred
LPN or RN license required, depending on the state

Keywords: VirtualVocations, Gary , Licensed Clinical Review Nurse, Healthcare , Gary, Indiana

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