Florida Licensed Concurrent Review Nurse

Job Summary

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

Key Responsibilities

• Perform concurrent reviews to assess member's overall health and appropriate level of care
• Evaluate quality and continuity of care, including acuity levels and discharge planning
• Collaborate with healthcare providers and leadership to ensure high-quality care and improve processes

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 of acute care experience required
• Active Florida nursing license required
• Knowledge of Medicare and Medicaid regulations preferred
• Understanding of utilization management processes preferred