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Clinical Review Nurse - Nevada

Company: VirtualVocations
Location: Grand Prairie
Posted on: November 20, 2024

Job Description:

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



Key Responsibilities

Perform concurrent reviews to assess member health and appropriate level of care
Collaborate with healthcare providers to approve medical determinations and provide recommendations
Document findings and maintain member medical records in health management systems


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 in acute care
Active LPN or RN licensure required
Knowledge of Medicare and Medicaid regulations preferred
Experience in utilization management processes preferred

Keywords: VirtualVocations, Fort Worth , Clinical Review Nurse - Nevada, Healthcare , Grand Prairie, Texas

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