Missouri Licensed Clinical Review Nurse

Company: VirtualVocations
Location: Vista
Posted on: May 5, 2025

Job Description:

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

Perform concurrent reviews to determine member's overall health and appropriate level of care
Review quality and continuity of care, including acuity level and discharge planning
Collaborate with healthcare providers and leadership to improve care quality and compliance with policies

Required Qualifications

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
Licensed Practical Nurse (LPN) state licensure required; Registered Nurse (RN) preferred
Clinical knowledge to assess member health and treatment needs
Knowledge of Medicare and Medicaid regulations preferred

Keywords: VirtualVocations, National City , Missouri Licensed Clinical Review Nurse, Healthcare , Vista, California

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