Clinical Review Nurse - Concurrent Review
Perform timely inpatient utilization reviews against established medical necessity criteria and health plan policies. This role ensures clinical appropriateness of care throughout the patient stay.
Work this role from any clinic, anywhere in the country — as long as your license, certifications and ID documents are current and valid for the employer's required state(s).
Complete concurrent reviews for inpatient admissions to ensure compliance with medical necessity standards. You will work within health plan policies and applicable regulatory standards. This is a clinical administrative role focused on patient outcomes and efficiency.
Listed on centene. Free to read, free to apply yourself.
For a $1 maintenance fee we write, submit and personally endorse your application for this role. You can pick more roles in the same category too.
Real recruiters apply for you with priority placement — 10 applications in 30 days, or your money back.