Licensed Clinical Review Nurse
Company: VirtualVocations
Location: Gary
Posted on: May 3, 2025
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Job Description:
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
validate medical necessity and care recommendations
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 member health and treatment needs
preferred
Knowledge of Medicare and Medicaid regulations preferred
LPN State Licensure required; RN preferred
Keywords: VirtualVocations, Arlington Heights , Licensed Clinical Review Nurse, Healthcare , Gary, Illinois
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