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Concurrent Review Nurse Jobs (NOW HIRING)

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 ...

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 ...

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How much do concurrent review nurse jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for concurrent review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Concurrent Review Nurse position, and why are they important?

To thrive as a Concurrent Review Nurse, you need strong clinical assessment skills, a current RN license, and a good understanding of healthcare regulations and utilization management. Proficiency with case management systems, electronic health records (EHRs), and familiarity with Medicare/Medicaid guidelines are highly valued. Excellent attention to detail, critical thinking, and effective communication skills help you succeed in fast-paced, multidisciplinary settings. These abilities are vital for ensuring appropriate care delivery, meeting compliance standards, and facilitating collaboration between healthcare providers and insurance companies.

How to make $300,000 as a nurse?

A concurrent review nurse can increase earnings by gaining specialized certifications, such as in case management or utilization review, and working in high-demand healthcare settings or overtime shifts. Advancing to senior or managerial roles, or working in regions with higher pay scales, can also help reach higher income levels, including $300,000 annually.

How to become a remote nurse reviewer?

To become a remote nurse reviewer, you typically need a valid nursing license, clinical experience, and knowledge of medical documentation and coding. Many positions require familiarity with electronic health records and strong analytical skills. Certification in case management or utilization review can enhance job prospects.

What are the typical daily responsibilities of a Concurrent Review Nurse?

A Concurrent Review Nurse is responsible for reviewing patient admissions and ongoing hospital stays to ensure medical necessity and adherence to insurance guidelines. Daily tasks often include analyzing clinical documentation, communicating with treating physicians, and coordinating with case managers and insurance representatives. You may also need to document findings in electronic health records and help facilitate timely transitions of care or discharge planning. This role requires regular collaboration with both clinical teams and administrative staff to support quality patient outcomes and efficient healthcare delivery.

What is a Concurrent Review Nurse job?

A Concurrent Review Nurse is a healthcare professional responsible for evaluating patient care and treatment plans in real time to ensure they meet medical necessity and insurance guidelines. They work with healthcare providers and insurance companies to review hospital stays, procedures, and treatments while patients are still receiving care. Their goal is to ensure appropriate resource utilization, prevent unnecessary costs, and support positive patient outcomes. These nurses must have strong clinical knowledge, critical thinking skills, and familiarity with insurance policies and regulations. They often collaborate with case managers, physicians, and insurance representatives to coordinate care efficiently.

How to make 200,000 a year as a nurse?

To earn $200,000 annually as a concurrent review nurse, gaining extensive experience, advanced certifications, and specialized knowledge in areas like case management or healthcare administration can help increase earning potential. Working in high-demand settings, taking on leadership roles, or pursuing additional education such as a master's degree may also contribute to higher salaries.

What does a concurrent review nurse do?

A concurrent review nurse evaluates patient care and medical records during hospitalization to ensure treatments meet established guidelines and are medically necessary. They collaborate with healthcare providers to approve, modify, or deny ongoing care plans, often using electronic health records and clinical criteria. This role requires strong clinical knowledge, attention to detail, and adherence to healthcare policies.
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Concurrent Review Nurse jobs near you
Infographic showing various Concurrent Review Nurse job openings in the United States as of July 2026, with employment types broken down into 4% Locum Tenens, 1% As Needed, 86% Full Time, 5% Part Time, 1% Temporary, and 3% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Concurrent Review Nurse

Concurrent Review Nurse

Palm Medical Centers

Miami, FL • On-site

Full-time

Posted 9 days ago

Job description

Position Summary:
The Concurrent Review Nurse is responsible for performing utilization management activities to ensure medical services are delivered effectively, efficiently, and appropriately. This includes reviewing inpatient admissions and ongoing hospital stays to determine medical necessity, appropriateness of care, and length of stay in accordance with clinical guidelines and payer requirements.
Key Responsibilities:
  • Conduct timely and accurate concurrent reviews of inpatient hospitalizations and other levels of care.
  • Evaluate clinical documentation against evidence-based criteria (e.g., InterQual®, MCG) to determine medical necessity and appropriate level of care.
  • Collaborate with physicians, hospital staff, and insurance companies to coordinate patient care and discharge planning.
  • Communicate utilization review decisions and recommendations to providers and payers.
  • Document all reviews, decisions, and communications in accordance with regulatory and organizational standards.
  • Identify cases requiring escalation or peer review and follow established procedures.
  • Ensure compliance with CMS guidelines, accreditation standards (e.g., NCQA, URAC), and HIPAA.
  • Participate in quality improvement initiatives and departmental meetings
Qualifications:
Education & Licensure:
  • Registered Nurse (RN) license, active and in good standing, required.
  • Associate or Bachelor’s degree in nursing (BSN preferred).
Experience:
  • Minimum 2 years of clinical experience (e.g., med-surg, critical care).
  • At least 1 year of utilization review, case management, or managed care experience preferred.
Skills & Competencies:
  • Knowledge of InterQual®, MCG, or other clinical review guidelines.
  • Familiarity with Medicare/Medicaid and commercial insurance regulations.
  • Strong analytical and clinical judgment skills.
  • Effective communication and negotiation skills.
  • Proficient with electronic medical records (EMRs) and utilization review platforms.
  • Detail-oriented with excellent organizational skills.
Work Environment:
  • Corporate Office

Palm Medical Centers is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Medical Centers makes hiring decisions based solely on qualifications, merit, and business needs at the time. 

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