Supervisor, Concurrent Review
$101K - $126K/yr
Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing. Bachelor's Degree ...
$101K - $126K/yr
Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing. Bachelor's Degree ...
$101K - $126K/yr
Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing. Bachelor's Degree ...
$101K - $126K/yr
Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing.
$101K - $126K/yr
Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing.
Manhattan, NY · On-site
$101K - $126K/yr
Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing. Qualifications ...
Manhattan, NY · On-site
$101K - $126K/yr
Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing. Qualifications ...
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate ...
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate ...
Schenectady, 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 ...
Schenectady, 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 ...
New York, NY · On-site +1
$68K - $118K/yr
Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. * Ensure accurate administration of benefits, execution of clinical policy and ...
New York, NY · On-site +1
$68K - $118K/yr
Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. * Ensure accurate administration of benefits, execution of clinical policy and ...
Concurrent Utilization Review Nurse, RN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality ...
Concurrent Utilization Review Nurse, RN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality ...
Schenectady, NY · On-site +1
$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 ...
Schenectady, NY · On-site +1
$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 ...
Tarrytown, 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 ...
Tarrytown, 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 ...
Woodland Hills, CA · On-site
$234K - $336K/yr
These functions include performance of pre-service, concurrent and retrospective utilization review, and provider claims dispute reviews. In addition, the Medical Director, Utilization Management ...
Woodland Hills, CA · On-site
$234K - $336K/yr
These functions include performance of pre-service, concurrent and retrospective utilization review, and provider claims dispute reviews. In addition, the Medical Director, Utilization Management ...
Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. * Ensure accurate administration of benefits, execution of clinical policy and ...
Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. * Ensure accurate administration of benefits, execution of clinical policy and ...
$26 - $33/hr
... Florida Concurrent review experience - 2 year minimum experience Managed Care experience - 1-2 year minimum experience Experience with Medicaid and Medicare Practice experience in the areas of ...
$26 - $33/hr
... Florida Concurrent review experience - 2 year minimum experience Managed Care experience - 1-2 year minimum experience Experience with Medicaid and Medicare Practice experience in the areas of ...
Our expanding managed care company is seeking RNs for positions in concurrent review and prior authorizations for our Sunrise office. This is a M-F daytime (no holidays/no weekends) fulltime position.
Our expanding managed care company is seeking RNs for positions in concurrent review and prior authorizations for our Sunrise office. This is a M-F daytime (no holidays/no weekends) fulltime position.
Tacoma, WA · On-site
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate ...
Tacoma, WA · On-site
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate ...
Kinston, NC · On-site
Acute Hospital, Admission Criteria, Admission Criteria, Appeals and Denials*, Appeals and Denials*, Concurrent Review, Concurrent Review, Continued Stay Reviews, Continued Stay Reviews, Determine ...
Kinston, NC · On-site
Acute Hospital, Admission Criteria, Admission Criteria, Appeals and Denials*, Appeals and Denials*, Concurrent Review, Concurrent Review, Continued Stay Reviews, Continued Stay Reviews, Determine ...
Review and evaluate proposed services utilizing medical criteria and/or established policies and procedures. This includes review of submitted medical documentation and/or photographs. * Determine ...
Review and evaluate proposed services utilizing medical criteria and/or established policies and procedures. This includes review of submitted medical documentation and/or photographs. * Determine ...
San Bernardino, CA · On-site
$35 - $40/hr
Description JOB SUMMARY The Concurrent Care Management LVN is responsible for supporting inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate ...
San Bernardino, CA · On-site
$35 - $40/hr
Description JOB SUMMARY The Concurrent Care Management LVN is responsible for supporting inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate ...
Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team * Identifies appropriate benefits, eligibility, and expected ...
Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team * Identifies appropriate benefits, eligibility, and expected ...
San Bernardino, CA · On-site
$35 - $40/hr
Under the direction of the Inpatient/Post-Acute Manager and RN leadership, the Concurrent Care Management LVN performs concurrent review, monitors inpatient and post-acute utilization, supports ...
San Bernardino, CA · On-site
$35 - $40/hr
Under the direction of the Inpatient/Post-Acute Manager and RN leadership, the Concurrent Care Management LVN performs concurrent review, monitors inpatient and post-acute utilization, supports ...
San Bernardino, CA · On-site
$35 - $40/hr
JOB SUMMARY The Concurrent Care Management LVN is responsible for supporting inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate, timely, and ...
San Bernardino, CA · On-site
$35 - $40/hr
JOB SUMMARY The Concurrent Care Management LVN is responsible for supporting inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate, timely, and ...
$15.63 - $19.08
14% of jobs
$21.93 is the 25th percentile. Wages below this are outliers.
$19.08 - $22.53
14% of jobs
$22.53 - $25.98
17% of jobs
The median wage is $27.88 / hr.
$25.98 - $29.44
11% of jobs
$29.44 - $32.89
8% of jobs
$32.89 - $36.34
6% of jobs
$38.93 is the 75th percentile. Wages above this are outliers.
$36.34 - $39.79
7% of jobs
$39.79 - $43.25
7% of jobs
$43.25 - $46.70
5% of jobs
$46.70 - $50.15
5% of jobs
$50.15 - $53.61
5% of jobs
$15
$31
$53
| Aspect | Concurrent Review | Utilization Review |
|---|---|---|
| Purpose | Assess ongoing patient care during hospitalization | Evaluate the necessity and appropriateness of services, often before or after care |
| Timing | Performed in real-time during treatment | Can be pre-authorization, concurrent, or retrospective |
| Work Environment | Hospitals, clinics, insurance companies | Insurance companies, healthcare organizations |
| Credentials | Registered nurses, case managers, healthcare professionals | Medical 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.

$101K - $126K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 3 days ago
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.
Benefits include:
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)
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1,001 - 5,000 Employees
New York, NY, US
1907