Remote Clinical Review Nurse

A company is looking for a Clinical Review Nurse - Concurrent Review.Key ResponsibilitiesPerforms concurrent reviews to determine member's overall health and appropriate level of careReviews quality and continuity of care, including acuity level and discharge planningCollaborates with healthcare providers and Medical Affairs to discuss member care and approve medical determinationsRequired QualificationsGraduate from an Accredited School of Nursing or Bachelor's degree in Nursing2 - 4 years of related experience; 2+ years of acute care experience requiredClinical knowledge to determine overall health and treatment needs of members preferredKnowledge of Medicare and Medicaid regulations preferredLPN - Licensed Practical Nurse - State Licensure required; RN License preferred