North Carolina Licensed Clinical Review Nurse

Company: VirtualVocations
Location: Arlington
Posted on: February 21, 2025

Job Description:

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

Key Responsibilities

Perform concurrent reviews to assess member health and appropriate care levels
Evaluate quality and continuity of care, including discharge planning
Collaborate with healthcare providers and leadership to improve care quality

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
Knowledge of Medicare and Medicaid regulations preferred
Knowledge of utilization management processes preferred
LPN license required; RN license required for Health Net of California

Keywords: VirtualVocations, Arlington , North Carolina Licensed Clinical Review Nurse, Healthcare , Arlington, Texas

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