Job Title: Clinical Review Nurse - Concurrent Review
Location:Remote- Nationally but must have Compact license if not in KY (ok with all time zones but must work EST)
Duration : 6 months
Shift :Mon- Fri 8-5pm EST
Job Description:
Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to
