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MO Licensed Clinical Review Nurse
A company is looking for a Clinical Review Nurse - Concurrent Review. Key Responsibilities Performs concurrent reviews to determine member's overall health and appropriate level of care Reviews quality and continuity of care, including acuity level and discharge planning Collaborates with healthcare providers and Medical Affairs to discuss member care and approves medical determinations Required Qualifications Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing 2 - 4 years of related experience, with 2+ years of acute care experience required Clinical knowledge to assess overall health and treatment needs preferred Knowledge of Medicare and Medicaid regulations 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 member's overall health and appropriate level of care
Reviews quality and continuity of care, including acuity level and discharge planning
Collaborates with healthcare providers and Medical Affairs to discuss member care and approves medical determinations
Required Qualifications
Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
2 - 4 years of related experience, with 2+ years of acute care experience required
Clinical knowledge to assess overall health and treatment needs preferred
Knowledge of Medicare and Medicaid regulations preferred
LPN - Licensed Practical Nurse - State Licensure required