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Concurrent Review Jobs (NOW HIRING)

Palm Medical Centers

Concurrent Review Nurse

Miami, FL · On-site

The Concurrent Review Nurse is responsible for performing utilization management activities to ensure medical services are delivered effectively, efficiently, and appropriately. This includes ...

WNS Global Services

Nurse, Concurrent Review

Houston, TX · On-site +1

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

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 ...

MJHS

Supervisor, Concurrent Review

Manhattan, NY · On-site

$101K - $126K/yr

Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing.Bachelor's Degree ...

MJHS

Supervisor, Concurrent Review

Manhattan, NY · On-site

$101K - $126K/yr

Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing. Qualifications:

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$15

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$53

How much do concurrent review jobs pay per hour?

As of Jul 20, 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 a concurrent review?

A concurrent review is a process used in healthcare and insurance jobs where a professional evaluates a patient's case or claim while treatment or services are ongoing. This review helps determine the appropriateness, necessity, and efficiency of care in real-time, often requiring knowledge of medical records and insurance policies. It is commonly performed by healthcare professionals, case managers, or claims reviewers to ensure quality and compliance.

What is an example of a concurrent review?

A concurrent review is a process used by healthcare professionals, including those in roles like Concurrent Review, to evaluate a patient's treatment and progress while they are still receiving care. For example, reviewing a patient's hospital stay daily to determine if continued hospitalization is necessary or if care can be transitioned to outpatient services. This process helps ensure appropriate utilization of resources and timely care adjustments.

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.

How to make an extra 2000 a month as a nurse?

Concurrent Review nurses can increase their income by taking on overtime shifts, working in high-demand specialties, or pursuing certifications that qualify them for higher-paying roles. Additionally, some may supplement income through per diem work, telehealth services, or consulting opportunities within their field.

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.

How to make 300,000 as a nurse?

To earn $300,000 as a nurse, professionals typically work in high-paying specialties such as nurse anesthetist, nurse practitioner, or clinical nurse specialist, often requiring advanced certifications and a master's or doctoral degree. Gaining experience, working overtime, and seeking employment in high-demand settings or geographic areas with higher pay can also increase earnings.
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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 July 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.
Concurrent Review

Concurrent Review

Nevada Regional Medical Center

Nevada, MO

$20.37/hr

Other

Posted 25 days ago

Job description

  • FIND A PHYSICIAN
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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