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California Licensed Clinical Review Nurse

Company: VirtualVocations
Location: Salem
Posted on: March 22, 2025

Job Description:

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 levels and discharge planning
Collaborates with healthcare providers and Medical Affairs to discuss and approve medical determinations

Required Qualifications

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
Active CA RN license required
Clinical knowledge to determine overall health and treatment needs preferred
Knowledge of Medicare and Medicaid regulations preferred

Keywords: VirtualVocations, Salem , California Licensed Clinical Review Nurse, Healthcare , Salem, Oregon

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