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Clinical Review Nurse - NY Licensed

Company: VirtualVocations
Location: Naperville
Posted on: October 29, 2024

Job Description:

A company is looking for a Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate member care.



Key Responsibilities

Conduct concurrent reviews to assess member health and appropriate level of care
Collaborate with healthcare providers and document findings in health management systems
Provide education to providers on utilization processes and assist with discharge planning


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
Licensure as a Licensed Practical Nurse (LPN) or Registered Nurse (RN) required
Knowledge of Medicare and Medicaid regulations preferred
Familiarity with utilization management processes preferred

Keywords: VirtualVocations, Naperville , Clinical Review Nurse - NY Licensed, Healthcare , Naperville, Illinois

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