Concurrent Review
Nevada, MO ยท On-site
$20.37/hr
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 ...
Nevada, MO ยท On-site
$20.37/hr
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 ...
Nevada, MO ยท On-site
$20.37/hr
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 ...
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure ...
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Molina Members to ensure ...
Houston, TX ยท On-site
Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: * Admission reviews * Continued stay reviews
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Houston, TX ยท On-site
Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: * Admission reviews * Continued stay reviews
Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: * Admission reviews * Continued stay reviews
Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: * Admission reviews * Continued stay reviews
Houston, TX ยท On-site +1
Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: * Admission reviews * Continued stay reviews
Houston, TX ยท On-site +1
Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including: * Admission reviews * Continued stay reviews
Kinston, NC ยท On-site
$2.5K/wk
Details Client Name UNC Health Lenoir Job Type Travel Offering Nursing Profession RN Specialty Utilization Review or Concurrent Review Job ID 18504392 Job Title RN - Utilization Review or Concurrent ...
Kinston, NC ยท On-site
$2.5K/wk
Details Client Name UNC Health Lenoir Job Type Travel Offering Nursing Profession RN Specialty Utilization Review or Concurrent Review Job ID 18504392 Job Title RN - Utilization Review or Concurrent ...
We are aggressively seeking RN Concurrent Review Nurses and RN Case Managers for a Fortune 500 Healthcare organization. Take advantage of flexible hours, a competitive salary, and be a n RN ...
We are aggressively seeking RN Concurrent Review Nurses and RN Case Managers for a Fortune 500 Healthcare organization. Take advantage of flexible hours, a competitive salary, and be a n RN ...
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 ...
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 ...
Bedford, NH ยท 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 ...
Bedford, NH ยท 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 ...
Are you an experienced RN Concurrent Review looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If ...
Are you an experienced RN Concurrent Review looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If ...
Under the general supervision of the Director of Health Services, the Concurrent Review Nurse is responsible for ensuring the delivery of medically necessary, high-quality, and cost-effective care.
Under the general supervision of the Director of Health Services, the Concurrent Review Nurse is responsible for ensuring the delivery of medically necessary, high-quality, and cost-effective care.
Serve as a subject matter expert for questions or issues for other Concurrent Review Nurses and Prior Authorization Nurses * Audit case reviews to ensure compliance with utilization management ...
Serve as a subject matter expert for questions or issues for other Concurrent Review Nurses and Prior Authorization Nurses * Audit case reviews to ensure compliance with utilization management ...
Under the general supervision of the Director of Health Services, the Concurrent Review Nurse is responsible for ensuring the delivery of medically necessary, high-quality, and cost-effective care.
Under the general supervision of the Director of Health Services, the Concurrent Review Nurse is responsible for ensuring the delivery of medically necessary, high-quality, and cost-effective care.
$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 ...
$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 ...
$73K - $90K/yr
If denied, all required regulatory and Plan P&P's must be followed) Concurrent review findings, but not limited to: Significant changes in the members physical and/or mental status Significant ...
$73K - $90K/yr
If denied, all required regulatory and Plan P&P's must be followed) Concurrent review findings, but not limited to: Significant changes in the members physical and/or mental status Significant ...
Manhattan, NY ยท 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:
Manhattan, NY ยท 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:
Daily Responsibilities of Registered Nurse Concurrent Review; * Telephonically review inpatient admissions to assure appropriate level of care and medical necessity * Review admissions through ...
Daily Responsibilities of Registered Nurse Concurrent Review; * Telephonically review inpatient admissions to assure appropriate level of care and medical necessity * Review admissions through ...
Be Seen First
OR ยท Remote
$30 - $38/hr
Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...
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Be Seen First
OR ยท Remote
$30 - $38/hr
Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...
Inpatient concurrent review, especially working with complex medical patients, including aged, blind, disabled. * Sound decision-making skills including problem solving, critical thinking, and good ...
Inpatient concurrent review, especially working with complex medical patients, including aged, blind, disabled. * Sound decision-making skills including problem solving, critical thinking, and good ...
Rochester, NY ยท Remote
$69K - $92K/yr
About the Opportunity As a Professional Concurrent Review RN, you'll have the opportunity to apply your nursing knowledge in a meaningful way-helping ensure members receive the right care at the ...
Rochester, NY ยท Remote
$69K - $92K/yr
About the Opportunity As a Professional Concurrent Review RN, you'll have the opportunity to apply your nursing knowledge in a meaningful way-helping ensure members receive the right care at the ...
$15.63 - $19.08
14% of jobs
$21.93 is the 25th percentile. Wages below this are outliers.
$19.08 - $22.53
14% of jobs
$22.53 - $25.98
17% of jobs
The median wage is $27.88 / hr.
$25.98 - $29.44
11% of jobs
$29.44 - $32.89
8% of jobs
$32.89 - $36.34
6% of jobs
$38.93 is the 75th percentile. Wages above this are outliers.
$36.34 - $39.79
7% of jobs
$39.79 - $43.25
7% of jobs
$43.25 - $46.70
5% of jobs
$46.70 - $50.15
5% of jobs
$50.15 - $53.61
5% of jobs
$15
$31
$53
| Aspect | Concurrent Review | Utilization Review |
|---|---|---|
| Purpose | Assess ongoing patient care during hospitalization | Evaluate the necessity and appropriateness of services, often before or after care |
| Timing | Performed in real-time during treatment | Can be pre-authorization, concurrent, or retrospective |
| Work Environment | Hospitals, clinics, insurance companies | Insurance companies, healthcare organizations |
| Credentials | Registered nurses, case managers, healthcare professionals | Medical 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.

$20.37/hr
Other
Posted 4 days ago
Pay:ย Base Wage starting at $20.37; increased based on experience
Incentive Eligible Position:ย Yes
ย
Sourced by ZipRecruiter
Health care and social assistance
201 - 500 Employees
Nevada, MO, US
1937