Florida Licensed Concurrent Review Nurse

Job Summary

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

Key Responsibilities

• Perform concurrent reviews to assess member health and appropriate care levels
• Evaluate quality and continuity of care, including discharge planning and resource consumption
• Collaborate with healthcare providers and leadership to improve care quality and ensure compliance with guidelines

Required Qualifications

• Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
• 2 - 4 years of related experience, with 2+ years of acute care experience required
• Active nursing license (LPN - Licensed Practical Nurse) required
• Knowledge of Medicare and Medicaid regulations preferred
• Familiarity with utilization management processes preferred