Clinical Review Nurse - Concurrent Review
Listed on 2026-11-01
-
Nursing
Clinical Review Nurse
- Concurrent Reviews
Remote- KY or Compact state license
Duration:6 months with possible extension or conversion
Schedule:Tues
- Sat 8-5pm EST
This is an every Saturday position and manager is open to 4-10 hour shifts
Job Summary:My team does concurrent reviews for KY Medicaid's inpatient medical stays. This is a position to help with the Marketplace and Medicaid line of business due to volume. The team is small and tight knit. It is a busy market. There is potential for upcoming hiring needs depending on how the medical leaves play out.
Candidate RequirementsRequired:
Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 - 4 years of related experience.
Preferred: BSN
Required:
LPN
Preferred: RN
Years of experience required: 2-4 years of related experience.
Disqualifiers: no UM background- must be tech savvy
Additional qualities to look for: ICU, Med-surge, Acute Care experience preferred.
Top 3 must-have hard skills stack-ranked by importance- Extensive clinical background.
- Technologically Savvy
- Must be able to multi-task.
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