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Texas Licensed Clinical Review Nurse

Company: VirtualVocations
Location: Vista
Posted on: May 13, 2025

Job Description:

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

Perform concurrent reviews to determine member's overall health and appropriate level of care
Review quality and continuity of care, including discharge planning and resource consumption
Collaborate 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, with 2+ years in acute care required
Licensed Practical Nurse (LPN) or Registered Nurse (RN) state licensure required
Preferred 3+ years of direct patient care experience in various acute care settings
Knowledge of Concurrent Review and Utilization Management processes preferred

Keywords: VirtualVocations, Inglewood , Texas Licensed Clinical Review Nurse, Healthcare , Vista, California

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