Remote Clinical Review Nurse

Job Summary

A company is looking for a Remote Clinical Review Nurse.

Key Responsibilities

• Collaborate with the PAC Medical Director to ensure proper medical necessity decisions and care planning
• Act as a clinical resource for unlicensed Post-Acute Care Coordinators and manage discharge plans
• Authorize continued stays and review clinical information to determine medical necessity for services

Required Qualifications, Training, and Education

• Current and unrestricted LPN or RN license
• Post-acute nursing experience in settings such as LTACH, SNF, or IRF
• 3 years of concurrent review experience and/or discharge planning
• 2 years of utilization review/management experience
• Associate's Degree or Diploma in Nursing/Practical Nursing