California Licensed Clinical Review Nurse - Ogden Utah

Company: VirtualVocations
Location: Ogden, Utah
Posted On: 02/03/2025

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



Key Responsibilities

Perform concurrent reviews to assess member health and appropriate care settings
Review quality and continuity of care, including discharge planning and resource consumption
Collaborate with healthcare providers and leadership to improve care quality and compliance


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
Licensed Practical Nurse (LPN) or Registered Nurse (RN) license required
Clinical knowledge of treatment needs and care levels preferred
Familiarity with Medicare and Medicaid regulations preferred More...

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