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Florida Licensed Clinical Review Nurse
A company is looking for a Clinical Review Nurse - Concurrent Review. Key Responsibilities Performs concurrent reviews to determine the 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 Affairs to discuss member care and improve utilization processes 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 Knowledge of Medicare and Medicaid regulations preferred Knowledge of utilization management processes preferred LPN - Licensed Practical Nurse - State Licensure required
A company is looking for a Clinical Review Nurse - Concurrent Review.
Key Responsibilities
Performs concurrent reviews to determine the 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 Affairs to discuss member care and improve utilization processes
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
Knowledge of Medicare and Medicaid regulations preferred
Knowledge of utilization management processes preferred
LPN - Licensed Practical Nurse - State Licensure required
