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Clinical Review Nurse - LPN

Company: VirtualVocations
Location: Chattanooga
Posted on: November 9, 2024

Job Description:

A company is looking for a Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate member care.



Key Responsibilities

Perform concurrent reviews to assess member health and appropriate level of care
Collaborate with healthcare providers and document findings in health management systems
Provide education to providers on utilization processes and discharge planning


Required Qualifications and Education

Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
2 - 4 years of related experience, including 2+ years of acute care experience
LPN licensure required; RN license required for Health Net of California
Knowledge of Medicare and Medicaid regulations preferred
Familiarity with utilization management processes preferred

Keywords: VirtualVocations, Huntsville , Clinical Review Nurse - LPN, Healthcare , Chattanooga, Alabama

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