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Arkansas Licensed Clinical Review Nurse

7/4/2025

N/A

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 Affairs to approve medical determinations and improve care quality
Required Qualifications, Training, and Education
  • 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
  • Knowledge of Medicare and Medicaid regulations preferred
  • LPN licensure required; RN licensure highly preferred
  • Experience in adult, pediatric, maternity, and behavioral health services preferred

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