Compact Licensed Clinical Review Nurse
Company: VirtualVocations
Location: Hartford
Posted on: April 1, 2025
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Job Description:
A company is looking for a Clinical Review Nurse - Concurrent
Review.
Key Responsibilities
Perform concurrent reviews to assess member health and evaluate
medical necessity of care
Assist in discharge planning and validate necessity and setting of
inpatient services
Ensure compliance with care policies and guidelines
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
Compact Licensure required; RN license required for Health Net of
California
Clinical knowledge to assess member health and treatment needs
preferred
Familiarity with Medicare and Medicaid regulations and utilization
management processes preferred
Keywords: VirtualVocations, Hartford , Compact Licensed Clinical Review Nurse, Healthcare , Hartford, Connecticut
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