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 * Retrospective Review * 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 * Retrospective Review * 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 * Retrospective Review * 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 ...
Indianapolis, IN · On-site
$32.75 - $41.75/hr
MDS Coordinator (LPN/RN) We rely on our MDS Coordinator (LPN/RN) to coordinate or assist in the ... Uses company standard systems (Concurrent review when available) to manage the MDS process
Indianapolis, IN · On-site
$32.75 - $41.75/hr
MDS Coordinator (LPN/RN) We rely on our MDS Coordinator (LPN/RN) to coordinate or assist in the ... 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
Ensures standards for admission, utilization review, and concurrent review are followed. Staff Leadership and Development Supervises nursing personnel and provides clinical guidance to residential ...
New
Ensures standards for admission, utilization review, and concurrent review are followed. Staff Leadership and Development Supervises nursing personnel and provides clinical guidance to residential ...
New
Ensures standards for admission, utilization review, and concurrent review are followed. Staff Leadership and Development Supervises nursing personnel and provides clinical guidance to residential ...
Quick apply
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
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
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
Mds Coordinator (Lpn) We rely on our MDS Coordinator (LPN) to coordinate or assist in the ... Uses company standard systems (concurrent review when available) to manage the MDS process.
Newburgh, IN · On-site
$32.50 - $41.50/hr
Mds Coordinator (Lpn) We rely on our MDS Coordinator (LPN) to coordinate or assist in the ... 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
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.
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.
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) * ...
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.
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.
Richmond, IN · On-site
$31 - $41.75/hr
RN - Clinical Documentation Integrity Follows the American Health Information Management ... Completes concurrent reviews to ensure working DRG and all comorbid conditions are documented by ...
Richmond, IN · On-site
$31 - $41.75/hr
RN - Clinical Documentation Integrity Follows the American Health Information Management ... Completes concurrent reviews to ensure working DRG and all comorbid conditions are documented by ...
Mishawaka, IN · On-site
Performs concurrent review of all components of the medical records of specified patient population ... Current Registered Nurse License in the State of practice, Registered Health Information ...
Mishawaka, IN · On-site
Performs concurrent review of all components of the medical records of specified patient population ... Current Registered Nurse License in the State of practice, Registered Health Information ...
Mishawaka, IN · On-site
Performs concurrent review of all components of the medical records of specified patient population ... Current Registered Nurse License in the State of practice, Registered Health Information ...
Mishawaka, IN · On-site
Performs concurrent review of all components of the medical records of specified patient population ... Current Registered Nurse License in the State of practice, Registered Health Information ...
Mishawaka, IN · On-site
Performs concurrent review of all components of the medical records of specified patient population ... Current Registered Nurse License in the State of practice, Registered Health Information ...
Mishawaka, IN · On-site
Performs concurrent review of all components of the medical records of specified patient population ... Current Registered Nurse License in the State of practice, Registered Health Information ...
$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
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.
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.
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.

7.2
Based on 14 frontline employees who took The Breakroom Quiz
427th of 1,056 rated hospitals
SALARY / 8:00am - 5:00pm / with on-call, weekend, & holiday rotation required
ELIGIBLE FOR $2,000 SIGN-ON BONUS!
JOB REQUIREMENTS EDUCATION Minimum: Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing with case management certification
LICENSE/CERTIFICATION Licensed RN in State of Indiana. Certification plan in place within 24 months of hire.
EXPERIENCE Minimum: 2-3 years of acute care clinical experience Preferred: 3-5 years of acute care clinical experience with strong knowledge of medical necessity criteria and payer requirements
JOB DUTIES
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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Health care and social assistance
1,001 - 5,000 Employees
Seymour, IN, US
1911