California Licensed Clinical Review Nurse

Job Summary

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

Key Responsibilities

• Performs concurrent reviews of members for appropriate care and setting
• Collaborates with healthcare providers to approve medical determinations based on review findings
• Documents and maintains concurrent review findings and discharge plans in health management systems

Required Qualifications, Training, and Education

• Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
• LPN - Licensed Practical Nurse - State Licensure required
• RN license required for California