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North Carolina Licensed Clinical Review Nurse
A company is looking for a Clinical Review Nurse - Concurrent Review. Key Responsibilities Perform concurrent reviews to assess member health and appropriate care levels Evaluate quality and continuity of care, including discharge planning Collaborate with healthcare providers and leadership to improve care quality 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 Knowledge of Medicare and Medicaid regulations preferred Knowledge of utilization management processes preferred LPN license required; RN license required for Health Net of California
A company is looking for a Clinical Review Nurse - Concurrent Review.
Key Responsibilities
Perform concurrent reviews to assess member health and appropriate care levels
Evaluate quality and continuity of care, including discharge planning
Collaborate with healthcare providers and leadership to improve care quality
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
Knowledge of Medicare and Medicaid regulations preferred
Knowledge of utilization management processes preferred
LPN license required; RN license required for Health Net of California