Arizona Licensed Clinical Review Nurse

A company is looking for a Clinical Review Nurse - Concurrent Review. Key Responsibilities Perform concurrent reviews to assess member's overall health and appropriateness of care Document and maintain findings, discharge plans, and actions taken in health management systems Collaborate with healthcare providers and care management to ensure timely and appropriate member care Required Qualifications 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 Knowledge of Medicare and Medicaid regulations preferred Knowledge of utilization management processes preferred LPN - Licensed Practical Nurse - State Licensure required

Mar 4, 2025 - 22:12

A company is looking for a Clinical Review Nurse - Concurrent Review. Key Responsibilities Perform concurrent reviews to assess member's overall health and appropriateness of care Document and maintain findings, discharge plans, and actions taken in health management systems Collaborate with healthcare providers and care management to ensure timely and appropriate member care Required Qualifications 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 Knowledge of Medicare and Medicaid regulations preferred Knowledge of utilization management processes preferred LPN - Licensed Practical Nurse - State Licensure required