Colorado Licensed Clinical Review Nurse

Job Summary

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

Key Responsibilities

• Conduct concurrent reviews of patient cases to assess medical necessity and appropriateness
• Collaborate with healthcare providers to verify documentation and adherence to protocols
• Evaluate clinical information to determine coverage eligibility based on guidelines

Required Qualifications

• Compact Nursing License
• Experience in clinical review or similar nursing roles
• Knowledge of medical necessity criteria and coverage guidelines
• Ability to work remotely and manage time effectively
• Availability to work Sunday-Thursday from 12-9 CST