Medical
Retirement
PTO
Daily Responsibilities of Registered Nurse Concurrent Review; * Telephonically review inpatient admissions to assure appropriate level of care and medical necessity * Review admissions through ...
Medical
Retirement
PTO
Daily Responsibilities of Registered Nurse Concurrent Review; * Telephonically review inpatient admissions to assure appropriate level of care and medical necessity * Review admissions through ...
Houston, TX · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... Continued stay reviews * Transitional care reviews (Skilled Nursing Facility, Inpatient ...
Quick apply
Houston, TX · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... Continued stay reviews * Transitional care reviews (Skilled Nursing Facility, Inpatient ...
Houston, TX · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
... Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... Nursing Facility, Inpatient Rehabilitation Facility, Long-Term Acute Care Hospital) • Related ...
Houston, TX · On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
... Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... Nursing Facility, Inpatient Rehabilitation Facility, Long-Term Acute Care Hospital) • Related ...
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 ...
Troy, MI · On-site
$33 - $37/hr
Provides concurrent review and prior authorizations (as needed) according to policy for members as ... Must be an RN * Utilization Review background in either Managed Care of Provider environment (at ...
Troy, MI · On-site
$33 - $37/hr
Provides concurrent review and prior authorizations (as needed) according to policy for members as ... Must be an RN * Utilization Review background in either Managed Care of Provider environment (at ...
Salem, OR · On-site
$90K - $100K/yr
Medical
Vision
P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive the right care, at the right time, and in the most appropriate setting. In this role, you'll ...
Salem, OR · On-site
$90K - $100K/yr
Medical
Vision
P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive the right care, at the right time, and in the most appropriate setting. In this role, you'll ...
Salem, OR · On-site
$90K - $100K/yr
Medical
Vision
P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive the right care, at the right time, and in the most appropriate setting. In this role, you'll ...
Salem, OR · On-site
$90K - $100K/yr
Medical
Vision
P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive the right care, at the right time, and in the most appropriate setting. In this role, you'll ...
Salem, OR · On-site
$90K - $100K/yr
Medical
Vision
P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive the right care, at the right time, and in the most appropriate setting. In this role, you'll ...
Salem, OR · On-site
$90K - $100K/yr
Medical
Vision
P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive the right care, at the right time, and in the most appropriate setting. In this role, you'll ...
Tuba City, AZ · On-site
$2.5K/wk
Medical
Dental
Vision
Retirement
Details Client Name Tuba City Regional Job Type Travel Offering Nursing Profession RN Specialty Utilization Review or Concurrent Review Job ID 18896875 Job Title RN - Utilization Review or Concurrent ...
Tuba City, AZ · On-site
$2.5K/wk
Medical
Dental
Vision
Retirement
Details Client Name Tuba City Regional Job Type Travel Offering Nursing Profession RN Specialty Utilization Review or Concurrent Review Job ID 18896875 Job Title RN - Utilization Review or Concurrent ...
Fort Myers, FL · On-site
$2.1K/wk
Medical
Dental
Vision
Retirement
Details Client Name Lee Health-Corporate Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review or Concurrent Review Job ID 18935027 Job Title RN - Utilization Review or ...
Fort Myers, FL · On-site
$2.1K/wk
Medical
Dental
Vision
Retirement
Details Client Name Lee Health-Corporate Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review or Concurrent Review Job ID 18935027 Job Title RN - Utilization Review or ...
Nevada, MO · On-site
$20.37/hr
Graduate of an Accredited School of Practical Nursing or Registered Nursing or Graduate of an approved program in Respiratory Care or BSW/MSW from accredited school of social work required or similar ...
Nevada, MO · On-site
$20.37/hr
Graduate of an Accredited School of Practical Nursing or Registered Nursing or Graduate of an approved program in Respiratory Care or BSW/MSW from accredited school of social work required or similar ...
Fort Myers, FL · On-site
Medical
Dental
Vision
Retirement
Travel RN - Utilization Review or Concurrent Review Genie Healthcare is looking for a RN to work in Utilization Review or Concurrent Review for a 12.71 weeks travel assignment located in Fort Myers ...
Fort Myers, FL · On-site
Medical
Dental
Vision
Retirement
Travel RN - Utilization Review or Concurrent Review Genie Healthcare is looking for a RN to work in Utilization Review or Concurrent Review for a 12.71 weeks travel assignment located in Fort Myers ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient ... and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient ... and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost ...
Raleigh, NC · On-site
... Concurrent review. · RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN) degree. · Minimum of 3 years clinical experience in an acute medical or acute surgical setting. · ...
Raleigh, NC · On-site
... Concurrent review. · RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN) degree. · Minimum of 3 years clinical experience in an acute medical or acute surgical setting. · ...
Waltham, MA · On-site
$30/hr
Medical
Dental
Vision
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 ...
Waltham, MA · On-site
$30/hr
Medical
Dental
Vision
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 ...
Raleigh, NC · On-site
... or Concurrent review. Qualifications · RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN) degree. · Minimum of 3 years clinical experience in an acute medical or acute ...
Raleigh, NC · On-site
... or Concurrent review. Qualifications · RN Diploma, RN Associate's degree or Bachelors of Science in Nursing (BSN) degree. · Minimum of 3 years clinical experience in an acute medical or acute ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
West Chester, PA · On-site
The Utilization Review Nurse will provide utilization review for authorization, concurrent review and discharge review services using InterQual criteria guidelines to validate medical necessity and ...
Tuba City, AZ · On-site
Medical
Dental
Vision
Retirement
RN Travel Assignment Genie Healthcare is looking for an RN to work in Utilization Review or Concurrent Review for a 13 weeks travel assignment located in Tuba City, AZ for the shift (5x8 Days ...
Tuba City, AZ · On-site
Medical
Dental
Vision
Retirement
RN Travel Assignment Genie Healthcare is looking for an RN to work in Utilization Review or Concurrent Review for a 13 weeks travel assignment located in Tuba City, AZ for the shift (5x8 Days ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
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.
Cities with the most Concurrent Review Nurse job openings:
The most popular types of Concurrent Review Nurse jobs are:
States with the most job openings for Concurrent Review Nurse jobs include:
The top searched job categories for Concurrent Review Nurse jobs are:
For Concurrent Review Nurse jobs, the most frequently searched job titles are:
Full-time
Medical, Retirement, PTO
Re-posted 15 days ago
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!
Daily Responsibilities of Registered Nurse Concurrent Review;
Requirements of Registered Nurse Concurrent Review;
Hours for this Position:
Monday - Friday 8AM - 5:30PM; 100% office based
Advantages of this Opportunity:
Interested in being considered?
If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.
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.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003
