UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Concurrent Review and Length of Stay Management 3. Retrospective Review 4. Payer Communication ...
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Concurrent Review and Length of Stay Management 3. Retrospective Review 4. Payer Communication ...
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Concurrent Review and Length of Stay Management 3. Retrospective Review 4. Payer Communication ...
Carmel, IN · On-site +1
$50 - $52/hr
Review admissions and service requests within assigned unit for prospective, concurrent and ... Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job ...
Carmel, IN · On-site +1
$50 - $52/hr
Review admissions and service requests within assigned unit for prospective, concurrent and ... Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job ...
Performing timely reviews of healthcare services, including precertification and concurrent reviews ... Registered Nurse with an active and unrestricted Illinois State License. * Three years of ...
New
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Performing timely reviews of healthcare services, including precertification and concurrent reviews ... Registered Nurse with an active and unrestricted Illinois State License. * Three years of ...
New
Gary, IN · On-site +1
$70K - $75K/yr
Performing timely reviews of healthcare services, including precertification and concurrent reviews ... Registered Nurse with an active and unrestricted Illinois State License. * Three years of ...
Gary, IN · On-site +1
$70K - $75K/yr
Performing timely reviews of healthcare services, including precertification and concurrent reviews ... Registered Nurse with an active and unrestricted Illinois State License. * Three years of ...
Richmond, IN · On-site
$33.25 - $40.25/hr
We rely on our MDS Coordinator (RN) to Coordinate or assist in the development and completion of ... Uses company standard systems (Concurrent review when available) to manage the MDS process
Richmond, IN · On-site
$33.25 - $40.25/hr
We rely on our MDS Coordinator (RN) to Coordinate or assist in the development and completion of ... Uses company standard systems (Concurrent review when available) to manage the MDS process
Indianapolis, IN · On-site
$32.75 - $41.75/hr
We rely on our MDS Coordinator (LPN/RN) to Coordinate or assist in the development and completion ... Uses company standard systems (Concurrent review when available) to manage the MDS process
Indianapolis, IN · On-site
$32.75 - $41.75/hr
We rely on our MDS Coordinator (LPN/RN) to Coordinate or assist in the development and completion ... Uses company standard systems (Concurrent review when available) to manage the MDS process
Indianapolis, IN · On-site
$32.25 - $41.25/hr
We rely on our MDS Coordinator (LPN/RN) to coordinate or assist in the development and completion ... Uses company standard systems (Concurrent review when available) to manage the MDS process
Indianapolis, IN · On-site
$32.25 - $41.25/hr
We rely on our MDS Coordinator (LPN/RN) to coordinate or assist in the development and completion ... Uses company standard systems (Concurrent review when available) to manage the MDS process
Gary, IN · On-site
$95 - $125/hr
Ensures standards for admission, utilization review, and concurrent review are followed. Staff Leadership and Development Supervises nursing personnel and provides clinical guidance to residential ...
Gary, IN · On-site
$95 - $125/hr
Ensures standards for admission, utilization review, and concurrent review are followed. Staff Leadership and Development Supervises nursing personnel and provides clinical guidance to residential ...
Ensures standards for admission, utilization review, and concurrent review are followed. Staff Leadership and Development * Supervises nursing personnel and provides clinical guidance to residential ...
Ensures standards for admission, utilization review, and concurrent review are followed. Staff Leadership and Development * Supervises nursing personnel and provides clinical guidance to residential ...
Newburgh, IN · On-site
$32.50 - $41.50/hr
We rely on our MDS Coordinator (LPN) to coordinate or assist in the development and completion of ... Uses company standard systems (Concurrent review when available) to manage the MDS process
Newburgh, IN · On-site
$32.50 - $41.50/hr
We rely on our MDS Coordinator (LPN) to coordinate or assist in the development and completion of ... Uses company standard systems (Concurrent review when available) to manage the MDS process
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
New
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
New
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Submit requests for cost out of high-cost drugs with Prior authorizations as well as concurrent reviews Qualifications: * Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) * ...
Submit requests for cost out of high-cost drugs with Prior authorizations as well as concurrent reviews Qualifications: * Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) * ...
Coordinate initial and concurrent reviews with payors, including precertifications, continued stay ... Collaborate with physicians, nurses, social workers, medical records, finance, and other ...
New
Coordinate initial and concurrent reviews with payors, including precertifications, continued stay ... Collaborate with physicians, nurses, social workers, medical records, finance, and other ...
New
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Hobart, IN · On-site
$18.97 - $30.92/hr
U.M. Technician will also assist the Nurse Case Manager with communicating admission and concurrent reviews for certification and length of stay assignments. Assists Administrative Director of ...
Hobart, IN · On-site
$18.97 - $30.92/hr
U.M. Technician will also assist the Nurse Case Manager with communicating admission and concurrent reviews for certification and length of stay assignments. Assists Administrative Director of ...
Hobart, IN · On-site
U.M. Technician will also assist the Nurse Case Manager with communicating admission and concurrent reviews for certification and length of stay assignments. Assists Administrative Director of ...
New
Hobart, IN · On-site
U.M. Technician will also assist the Nurse Case Manager with communicating admission and concurrent reviews for certification and length of stay assignments. Assists Administrative Director of ...
New
U.M. Technician will also assist the Nurse Case Manager with communicating admission and concurrent reviews for certification and length of stay assignments. Assists Administrative Director of ...
U.M. Technician will also assist the Nurse Case Manager with communicating admission and concurrent reviews for certification and length of stay assignments. Assists Administrative Director of ...
Hobart, IN · On-site
U.M. Technician will also assist the Nurse Case Manager with communicating admission and concurrent reviews for certification and length of stay assignments. Assists Administrative Director of ...
New
Hobart, IN · On-site
U.M. Technician will also assist the Nurse Case Manager with communicating admission and concurrent reviews for certification and length of stay assignments. Assists Administrative Director of ...
New
$20.36 - $24.48
2% of jobs
$24.48 - $28.59
9% of jobs
$31.41 is the 25th percentile. Wages below this are outliers.
$28.59 - $32.71
21% of jobs
The median wage is $36.04 / hr.
$32.71 - $36.83
23% of jobs
$36.83 - $40.94
13% of jobs
$44.15 is the 75th percentile. Wages above this are outliers.
$40.94 - $45.06
10% of jobs
$45.06 - $49.18
8% of jobs
$49.18 - $53.30
5% of jobs
$53.30 - $57.41
5% of jobs
$57.41 - $61.53
2% of jobs
$61.53 - $65.65
2% of jobs
$20
$40
$65
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.
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.
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.
The most popular types of Concurrent Review Nurse jobs in Indiana are:
For Concurrent Review Nurse jobs in Indiana, the most frequently searched job titles are:
The top searched job categories for Concurrent Review Nurse jobs in Indiana are:
For Concurrent Review Nurse jobs in IN, the most frequently searched job titles are:

7.2
Based on 14 frontline employees who took The Breakroom Quiz
422nd of 1,065 rated hospitals
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Sourced by ZipRecruiter
Health care and social assistance
1,001 - 5,000 Employees
Seymour, IN, US
1911