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Concurrent Review Jobs (NOW HIRING)

WNS Global Services

Nurse, Concurrent Review

... concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: • Admission reviews • Continued stay reviews • ...

HealthHelp

Nurse Concurrent Review

Houston, TX · On-site

$75K/yr

• Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: • Admission reviews • Continued stay reviews ...

WNS

Nurse, Concurrent Review

$75K/yr

Nurse, Concurrent Review Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including admission reviews, continued ...

Nevada City

Concurrent Review

Nevada, MO · On-site

$20.37/hr

Job Title Pay: Base Wage starting at $20.37; increased based on experience Incentive Eligible Position: Yes Essential Functions: * Authorize patient stays * Submit insurance PA for hospital admission ...

iPlace USA

Concurrent Review Nurse

Bedford, NH

Perform onsite review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical nursing experience in an acute care. * Current state's RN license. Additional Information ...

iPlace USA

Concurrent Review Nurse

Bedford, NH · On-site

Perform onsite review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical nursing experience in an acute care. * Current state's RN license. Additional Information ...

Florida Blue

Concurrent Review Nurse

Jacksonville, FL · On-site

$71K - $115K/yr

The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level. The CRN builds relationships with facility case ...

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Concurrent Review information

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How much do concurrent review jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for concurrent review in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a concurrent review nurse, and why are they important?

To thrive as a Concurrent Review Nurse, you need a strong clinical background, current RN licensure, and a thorough understanding of utilization management and healthcare regulations. Familiarity with case management software, electronic health records (EHRs), and knowledge of insurance guidelines and ICD/CPT coding is typically required. Excellent analytical thinking, communication skills, and attention to detail help in collaborating with providers and ensuring appropriate care. These competencies are crucial for ensuring patients receive medically necessary care while maintaining compliance and cost-effectiveness.

What is concurrent review in healthcare?

Concurrent review is a process used in healthcare to assess the necessity and appropriateness of ongoing inpatient care while the patient is still hospitalized. The goal is to ensure that medical services are being delivered efficiently and according to established guidelines. Utilization review nurses or case managers typically conduct these reviews by evaluating medical records, communicating with providers, and making recommendations regarding continued stay or discharge planning. This helps control healthcare costs and improves patient outcomes by preventing unnecessary treatments or extended hospitalizations.

What is the difference between Concurrent Review vs Utilization Review?

AspectConcurrent ReviewUtilization Review
PurposeAssess ongoing patient care during hospitalizationEvaluate the necessity and appropriateness of services, often before or after care
TimingPerformed in real-time during treatmentCan be pre-authorization, concurrent, or retrospective
Work EnvironmentHospitals, clinics, insurance companiesInsurance companies, healthcare organizations
CredentialsRegistered nurses, case managers, healthcare professionalsMedical reviewers, nurses, case managers

Concurrent Review focuses on evaluating ongoing patient care during hospitalization, ensuring treatments are appropriate in real-time. Utilization Review has a broader scope, including pre-authorization and retrospective assessments to determine the necessity of services. While both roles involve healthcare professionals and are used within insurance and healthcare settings, their timing and specific focus differ.

What are some common challenges faced by concurrent review nurses, and how can they be managed?

Concurrent Review nurses often face challenges such as managing a high volume of case reviews within tight deadlines and ensuring timely communication with providers and insurance companies. Staying organized, utilizing efficient documentation systems, and maintaining up-to-date knowledge of regulatory requirements can help overcome these hurdles. Collaboration with interdisciplinary teams and regular training on evolving guidelines are also essential for success in this role.
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What states have the most Concurrent Review jobs? States with the most job openings for Concurrent Review jobs include:
What job categories do people searching Concurrent Review jobs look for? The top searched job categories for Concurrent Review jobs are:
Concurrent Review jobs near you
Infographic showing various Concurrent Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Concurrent Review

Nevada Regional Medical Center

Nevada, MO • On-site

$20.37/hr

Per diem

Re-posted 15 days ago

Job description

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Call Us: 417-667-3355 800-432-0526
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Job Openings >> Concurrent Review
Concurrent Review
Summary
Title: Concurrent Review ID: 1454 Location: Nevada, Missouri Department: Quality Status: PRN Shift: Evenings
More about this job >
Description

Pay: Base Wage starting at $20.37; increased based on experience

Incentive Eligible Position: Yes
 

Essential Functions:
  • Authorize patient stays
  • Submit insurance PA for hospital admission insurance.
  • Continued stay submissions
  • Discharge submission to insurance
  • Appeals and Peer to Peer submission
  • InterQual submission for medical necessity.
  • Discharge planning for BHU and Acute Care.
  • Conduct UR Committee.
  • CDI Management 
  • Swing Bed intake process
  • All other duties within the scope of practice. 
Working Conditions:
  • Possible exposure to inside environmental conditions.
  • Exposure to distressed patients, families or visitors.
Physical Demands:
  • Requires standing, sitting or walking for up to 8 hours or longer per day.
  • The ability to lift up to 50 lbs.
Qualifications:  
  • Graduate of an Accredited School of Practical Nursing or Registered Nursing or Graduate of an approved program in Respiratory Care or BSW/MSW from accredited school of social work required or similar education and experience; Missouri Licensure preferred
Apply Now
 
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ADDRESS
Nevada Regional Medical Center 800 South Ash Street Nevada, MO 64772

Contact
417-667-3355
2026 Nevada Regional Medical Center |  |  Privacy Policy
EMPLOYEE EMAIL
  • HOME
  • ABOUT
    • MISSION STATEMENT
    • BOARD OF DIRECTORS
    • LEADERSHIP TEAM
    • CIHQ ACCREDITATION
    • REPORTS
    • NEWS
  • SERVICES
    • BEHAVIORAL HEALTH
    • EMERGENCY DEPARTMENT
    • ENDOSCOPY
    • DIAGNOSTICS
    • MATERNITY CENTER
    • NUTRITION COUNSELING
    • PAIN MANAGEMENT
    • PERFORMANCE THERAPY
    • REHABILITATION SERVICES
    • SERIES MEDICATIONS
    • SLEEP CENTER
    • SOCIAL SERVICES
    • VIRTUAL VISITS
  • PATIENTS & VISITORS
    • ADMISSIONS
    • CHAPLAINCY PROGRAM
    • GIFT SHOP
    • MEDICAL RECORDS
    • PATIENT BILL OF RIGHTS
    • PATIENT GUIDE
    • PATIENT PRIVACY POLICY
    • PATIENT RESPONSIBILITIES
    • PATIENT SAFETY
  • FINANCIAL SERVICES
    • FINANCIAL ASSISTANCE
    • MEDICARE INFORMATION
    • PRICING ESTIMATOR
    • PRICING FAQs
  • CAREERS
    • APPLY NOW
    • EMPLOYMENT BENEFITS
    • PHYSICIAN RECRUITMENT
  • COMMUNITY
    • CHILDBIRTH CLASSES
    • CHOLESTEROL SCREENING
    • COVID19
    • COVID19 VACCINE
  • FOUNDATION
    • BRICK ENGRAVING
    • DONATE
  • E-CARDS
  • LONG-TERM CARE
  • SPECIALTY CARE
  • PRIMARY CARE

Apply