Clinical Review Nurse – Concurrent Review

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 validate the necessity and setting of care being delivered to the member. Key Details: Remote role, Texas RN or Compact License required. Monday – Friday 8AM to 5PM CST and 1 weekend per month required. ICU o…