Florida Licensed Clinical Review Nurse
Company: VirtualVocations
Location: Vista
Posted on: May 8, 2025
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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, San Diego , Florida Licensed Clinical Review Nurse, Healthcare , Vista, California
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