Michigan Licensed Clinical Review Nurse

A company is looking for a Clinical Review Nurse - Concurrent Review. Key Responsibilities Performs concurrent reviews to determine member's overall health and appropriate level of care Reviews quality and continuity of care, including discharge planning and resource consumption Collaborates with healthcare providers and Medical Affairs to discuss member care and approve medical determinations 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 Clinical knowledge to assess member health and treatment needs Knowledge of Medicare and Medicaid regulations preferred LPN - Licensed Practical Nurse - State Licensure required

Created: 2026-03-05