Texas Licensed Clinical Review Nurse - San Jose California

Company: VirtualVocations
Location: San Jose, California
Posted On: 02/02/2025

A company is looking for a Clinical Review Nurse - Concurrent Review (RN).



Key Responsibilities

Performs concurrent reviews to assess 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 ensure appropriate care delivery


Required Qualifications, Training, and Education

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
RN licensure in TX and/or compact licensure
Preferred knowledge of Medicare and Medicaid regulations
Preferred NICU experience More...

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