California Licensed Nurse
Company: VirtualVocations
Location: Saint Petersburg
Posted on: March 27, 2025
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Job Description:
A company is looking for a Nurse.
Key Responsibilities:
Perform medical necessity reviews for an assigned panel of
members
Review cases for medical necessity and apply appropriate clinical
criteria
Collaborate with the Medical Director on adverse determination
notices and ensure timely discharge planning
Minimum Qualifications:
Minimum 2 years of experience in medical management clinical
functions
Active and Unrestricted California LVN (Licensed Vocational
Nurse)
Working knowledge of MCG, InterQual, and NCQA standards
Keywords: VirtualVocations, St. Petersburg , California Licensed Nurse, Healthcare , Saint Petersburg, Florida
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