Remote Clinical Review Nurse
Company: VirtualVocations
Location: Sioux Falls
Posted on: March 23, 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 level and
discharge planning
Collaborates with healthcare providers and Medical Affairs to
discuss member care and approve medical determinations
Required Qualifications
Graduate from an Accredited School of Nursing or Bachelor's degree
in Nursing
2 - 4 years of related experience; 2+ years of acute care
experience required
Clinical knowledge to determine overall health and treatment needs
of members preferred
Knowledge of Medicare and Medicaid regulations preferred
LPN - Licensed Practical Nurse - State Licensure required; RN
License preferred
Keywords: VirtualVocations, Sioux Falls , Remote Clinical Review Nurse, Healthcare , Sioux Falls, South Dakota
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