Florida Licensed Clinical Review Nurse
Company: VirtualVocations
Location: Portland
Posted on: April 6, 2025
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Job Description:
A company is looking for a Clinical Review Nurse - Concurrent
Review.
Key Responsibilities
Performs concurrent reviews to determine member's overall health
and appropriate level of care
Reviews quality and continuity of care, including acuity levels and
discharge planning
Collaborates with healthcare providers and Medical Affairs to
validate medical determinations
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
required
Clinical knowledge to assess overall health and treatment needs
preferred
Knowledge of Medicare and Medicaid regulations preferred
RN preferred; LPN license accepted
Keywords: VirtualVocations, Portland , Florida Licensed Clinical Review Nurse, Healthcare , Portland, Maine
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