Arizona Licensed Clinical Review Nurse

Job Summary

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

Key Responsibilities

• Performs concurrent reviews to determine overall health and appropriate level of care for members
• Reviews quality and continuity of care, including acuity level and discharge planning
• Collaborates with healthcare providers and medical directors to discuss care delivery and recommendations

Required Qualifications

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