Virginia Licensed Clinical Review Nurse

Location: Remote
Compensation: Hourly
Reviewed: Thu, Apr 10, 2025
This job expires in: 17 days
Concurrent Reviews Medical Necessity Discharge Planning Utilization Management

Job Summary

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 leadership to improve care quality and compliance with clinical policies
Required Qualifications
  • Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
  • 2 - 4 years of related experience preferred
  • 2+ years of acute care experience preferred
  • RN or LPN Licensure required

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