Florida Licensed Clinical Review Nurse

Company: VirtualVocations
Location: Vista
Posted on: May 8, 2025

Job Description:

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

Performs concurrent reviews to assess member health and appropriate level of care
Reviews quality and continuity of care, including discharge planning and resource utilization
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, with at least 2 years in acute care
State Licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) required
Knowledge of Medicare and Medicaid regulations preferred
Experience with utilization management processes preferred

Keywords: VirtualVocations, Glendora , Florida Licensed Clinical Review Nurse, Healthcare , Vista, California

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