North Carolina Licensed Clinical Review Nurse
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Clinical Review Nurse - Concurrent
Review.
Key Responsibilities
Perform concurrent reviews to determine members' overall health and
appropriate level of care
Review quality and continuity of care, including acuity level,
resource consumption, and discharge planning
Collaborate with healthcare providers and leadership to improve
care quality and ensure compliance with utilization management
policies
Required Qualifications, Training, and Education
Graduate from an Accredited School of Nursing or Bachelor's degree
in Nursing
2 - 4 years of related experience, including 2+ years of acute care
experience
Active LPN or RN licensure in North Carolina or a compact RN/LPN
credential from another state
Clinical knowledge to assess members' health and treatment
needs
Knowledge of Medicare and Medicaid regulations and utilization
management processes preferred
Keywords: VirtualVocations, Rowland Heights , North Carolina Licensed Clinical Review Nurse, Healthcare , Vista, California
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