Missouri Licensed Clinical Review Nurse

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

Apr 4, 2025 - 22:04

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