Arizona Licensed Clinical Review Nurse

A company is looking for a Clinical Review Nurse - Concurrent Review. Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Reviews quality and continuity of care, including acuity level and discharge planning Collaborates with healthcare providers and medical directors to discuss care delivery and recommendations Required Qualifications Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing 2 - 4 years of related experience, with at least 2 years in acute care Knowledge of Medicare and Medicaid regulations preferred Knowledge of utilization management processes preferred Licensed Practical Nurse (LPN) state licensure required

May 27, 2025 - 22:20
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Arizona Licensed Clinical Review Nurse
A company is looking for a Clinical Review Nurse - Concurrent Review. Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Reviews quality and continuity of care, including acuity level and discharge planning Collaborates with healthcare providers and medical directors to discuss care delivery and recommendations Required Qualifications Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing 2 - 4 years of related experience, with at least 2 years in acute care Knowledge of Medicare and Medicaid regulations preferred Knowledge of utilization management processes preferred Licensed Practical Nurse (LPN) state licensure required