ZipRecruiter

Log In

1

Concurrent Review Nurse Jobs (NOW HIRING)

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 ...

Enterprise Engineering

Be Seen First

Concurrent Utilization Review (UR) Nurse

OR · Remote

$28 - $32/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 ...

Mvphealthcare

Concurrent Review - RN

Rochester, NY · 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 ...

next page

Showing results 1-20

All JobsConcurrent Review Nurse Jobs

Concurrent Review Nurse information

See salary details

$21

$42

$68

How much do concurrent review nurse jobs pay per hour?

As of Jun 13, 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 earn $300,000 by gaining extensive experience, obtaining advanced certifications, and working in high-paying settings such as managed care organizations or insurance companies. Increasing hours, taking on leadership roles, or specializing in areas like case management can also boost income potential.

How to make 150,000 as a nurse?

A Concurrent Review Nurse can earn $150,000 by gaining extensive experience, obtaining advanced certifications, and working in high-paying healthcare settings such as hospitals or insurance companies. Specializing in areas like case management or utilization review and working overtime or in leadership roles can also increase earning potential.

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.

What does a concurrent review nurse do?

A concurrent review nurse evaluates patient care and medical records during hospitalization to ensure treatments meet clinical guidelines and insurance requirements. They collaborate with healthcare providers to approve, modify, or deny ongoing care plans, often using electronic health record systems. This role requires strong clinical knowledge and attention to detail to support appropriate and cost-effective patient care.

How to make an extra $1000 a month as a nurse?

A concurrent review nurse can increase income by taking on additional shifts, working overtime, or offering telehealth services if permitted. Gaining specialized certifications or experience in high-demand areas can also qualify for higher-paying assignments or consulting opportunities.
More about Concurrent Review Nurse jobs
What cities are hiring for Concurrent Review Nurse jobs? Cities with the most Concurrent Review Nurse job openings:
What are the most commonly searched types of Concurrent Review Nurse jobs? The most popular types of Concurrent Review Nurse jobs are:
What states have the most Concurrent Review Nurse jobs? States with the most job openings for Concurrent Review Nurse jobs include:
What job categories do people searching Concurrent Review Nurse jobs look for? The top searched job categories for Concurrent Review Nurse jobs are:
What are popular job titles related to Concurrent Review Nurse jobs? For Concurrent Review Nurse jobs, the most frequently searched job titles are:
Concurrent Review Nurse jobs near you
Infographic showing various Concurrent Review Nurse job openings in the United States as of June 2026, with employment types broken down into 4% As Needed, 69% Full Time, 22% Part Time, 1% Temporary, and 4% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Concurrent Review Nurse

Concurrent Review Nurse

Healthcare Support Staffing

Troy, MI

Other

Posted 10 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Company Job Description/Day to Day Duties:


Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time. 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 optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines


Provider appeals and Utilization reviews and assist with Denial Letters 


Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.

Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.

Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care.

Qualifications

Minimum Education/Qualifications/Licensures:


Utilization Review background in either Managed Care of Provider environment (at least one year) 

Interqual experience 

Other basic computer skills necessary: Microsoft Office, Data Entry, etc. 

Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.

Also has a background in patient, skilled nurses facilities, rehab, and home healthcare.

Additional Information

Are you an experienced Registered Nurse looking for a new opportunity with a prestigious healthcare company in Troy MI? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you! 

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

FacebookTwitter

View All Healthcare Support Jobs

Apply