Mississippi 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 appropriate level of care Review quality and continuity of care, including acuity level and discharge planning Collaborate with healthcare providers and Medical Affairs to ensure appropriate care delivery 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 preferred Clinical knowledge to determine treatment needs and level of care Knowledge of Medicare and Medicaid regulations preferred LPN License required; RN License preferred

Apr 2, 2025 - 01:14

A company is looking for a Clinical Review Nurse - Concurrent Review. Key Responsibilities Perform concurrent reviews to assess 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 Medical Affairs to ensure appropriate care delivery 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 preferred Clinical knowledge to determine treatment needs and level of care Knowledge of Medicare and Medicaid regulations preferred LPN License required; RN License preferred