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Concurrent Review Jobs in California (NOW HIRING)

Medix

Utilization Review Nurse

Orange, CA · On-site

$38 - $53/hr

The primary goal is to conduct daily inpatient reviews, concurrent reviews, discharge planning, and coordinating care for DME, Home Health, and Skilled Nursing Facility (SNF) placements.

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Concurrent Review information

See California salary details

$15

$31

$52

How much do concurrent review jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for concurrent review in California is $31.52, according to ZipRecruiter salary data. Most workers in this role earn between $22.07 and $40.10 per hour, depending on experience, location, and employer.

What is concurrent review in healthcare?

Concurrent review is a process used in healthcare to assess the necessity and appropriateness of ongoing inpatient care while the patient is still hospitalized. The goal is to ensure that medical services are being delivered efficiently and according to established guidelines. Utilization review nurses or case managers typically conduct these reviews by evaluating medical records, communicating with providers, and making recommendations regarding continued stay or discharge planning. This helps control healthcare costs and improves patient outcomes by preventing unnecessary treatments or extended hospitalizations.

What are some common challenges faced by concurrent review nurses, and how can they be managed?

Concurrent Review nurses often face challenges such as managing a high volume of case reviews within tight deadlines and ensuring timely communication with providers and insurance companies. Staying organized, utilizing efficient documentation systems, and maintaining up-to-date knowledge of regulatory requirements can help overcome these hurdles. Collaboration with interdisciplinary teams and regular training on evolving guidelines are also essential for success in this role.

What are the key skills and qualifications needed to thrive as a concurrent review nurse, and why are they important?

To thrive as a Concurrent Review Nurse, you need a strong clinical background, current RN licensure, and a thorough understanding of utilization management and healthcare regulations. Familiarity with case management software, electronic health records (EHRs), and knowledge of insurance guidelines and ICD/CPT coding is typically required. Excellent analytical thinking, communication skills, and attention to detail help in collaborating with providers and ensuring appropriate care. These competencies are crucial for ensuring patients receive medically necessary care while maintaining compliance and cost-effectiveness.

What is the difference between Concurrent Review vs Utilization Review?

AspectConcurrent ReviewUtilization Review
PurposeAssess ongoing patient care during hospitalizationEvaluate the necessity and appropriateness of services, often before or after care
TimingPerformed in real-time during treatmentCan be pre-authorization, concurrent, or retrospective
Work EnvironmentHospitals, clinics, insurance companiesInsurance companies, healthcare organizations
CredentialsRegistered nurses, case managers, healthcare professionalsMedical reviewers, nurses, case managers

Concurrent Review focuses on evaluating ongoing patient care during hospitalization, ensuring treatments are appropriate in real-time. Utilization Review has a broader scope, including pre-authorization and retrospective assessments to determine the necessity of services. While both roles involve healthcare professionals and are used within insurance and healthcare settings, their timing and specific focus differ.

What are popular job titles related to Concurrent Review jobs in California?

For Concurrent Review jobs in California, the most frequently searched job titles are:

What job categories do people searching Concurrent Review jobs in California look for?

The top searched job categories for Concurrent Review jobs in California are:

Concurrent Review jobs near you
Infographic showing various Concurrent Review job openings in California as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $65,566 per year, or $31.5 per hour.

Concurrent Review Registered Nurse

Healthcare Support Staffing

San Leandro, CA • On-site

Full-time

Medical

Re-posted 15 hours 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
  • Manage and coordinate in-patient review and discharge planning and case management activities related to immediate post-discharge needs.
  • Train in and implement Care Transitions model in discharge planning; participate in diffusion of model in clinic setting.
  • Support proactive hospital discharge planning, transfers, and redirection.
  • Proactively and collaboratively, interface with medical director, HMO's, clinic and facility staff, outside agencies, member and their families to assist in expediting appropriate discharge and coordination of care.
  • Meet departmental review and documentation standards for work assignments.
  • Write denial letters, and other Notices of Action, to member/providers using HMO templates.
  • Serve as a liaison between hospital, clinics, health plan, vendors, outside agencies, and providers.
  • Work with health plans on special requests such as obtaining ancillary services from non-contracting providers.
  • Assist UM Director in the periodic review and update of UM/Case Management policy and procedures, and in the ongoing evaluation and improvement of workflow systems for UM.
  • Coordinate completion and send required UM monthly reports to Health Plans, as assigned.
  • Participates in Case Management committee meetings as well as outreach activities, agency advocacy, and serves on ad hoc committees, as requested.
Qualifications
  • Utilization Management and Case Management experience
  • Understanding and knowledge of healthcare benefits associated with various business lines (Medi-Cal, Medicare, Commercial).
  • Inpatient concurrent review, especially working with complex medical patients, including aged, blind, disabled.
  • Sound decision-making skills including problem solving, critical thinking, and good clinical judgment for clinical and non-clinical issues.
  • Logical, independent thinker.
  • 1 year Utilization Management in hospital, HMO, or IPA setting.
  • 1 year in health care delivery setting at hospital, clinic or physician's office
Additional Information

Hours for this Position:

Day Time Monday - Friday 8:00 am-5:00pm

Salary:

80k to 90k per year


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

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