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Concurrent Review Jobs (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness, and quality of medical/surgical services, and ...

Miami Jewish Health

Utilization Review Nurse

Miami, FL · On-site

Concurrent Review & Care Progression * Conducts timely concurrent reviews with hospitals and facilities to assess clinical stability, treatment response, and discharge readiness. * Reviews clinical ...

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Concurrent Review information

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How much do concurrent review jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for concurrent review in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

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 a concurrent review?

A concurrent review is a process used in healthcare and insurance jobs where a professional evaluates a patient's case or claim while treatment or services are ongoing. This review helps determine the appropriateness, necessity, and efficiency of care in real-time, often requiring knowledge of medical records and insurance policies. It is commonly performed by healthcare professionals, case managers, or claims reviewers to ensure quality and compliance.

What is an example of a concurrent review?

A concurrent review is a process used by healthcare professionals, including those in roles like Concurrent Review, to evaluate a patient's treatment and progress while they are still receiving care. For example, reviewing a patient's hospital stay daily to determine if continued hospitalization is necessary or if care can be transitioned to outpatient services. This process helps ensure appropriate utilization of resources and timely care adjustments.

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.

How to make an extra 2000 a month as a nurse?

Concurrent Review nurses can increase their income by taking on overtime shifts, working in high-demand specialties, or pursuing certifications that qualify them for higher-paying roles. Additionally, some may supplement income through per diem work, telehealth services, or consulting opportunities within their field.

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 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.

How to make 300,000 as a nurse?

To earn $300,000 as a nurse, professionals typically work in high-paying specialties such as nurse anesthetist, nurse practitioner, or clinical nurse specialist, often requiring advanced certifications and a master's or doctoral degree. Gaining experience, working overtime, and seeking employment in high-demand settings or geographic areas with higher pay can also increase earnings.
More about Concurrent Review jobs
What states have the most Concurrent Review jobs? States with the most job openings for Concurrent Review jobs include:
What job categories do people searching Concurrent Review jobs look for? The top searched job categories for Concurrent Review jobs are:
Concurrent Review jobs near you
Infographic showing various Concurrent Review job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Concurrent Case Management LVN

LSMA Management Inc

San Bernardino, CA • On-site

$35 - $40/hr

Full-time

Posted 23 days ago

Job description

Description:

JOB SUMMARY

The Concurrent Case Management LVN is responsible for supporting inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate, timely, and cost-effective utilization of healthcare services for members of a California Managed Services Organization (MSO).

Under the direction of the Inpatient/Post-Acute Manager and RN leadership, the Concurrent Case Management LVN performs concurrent review, monitors inpatient and post-acute utilization, supports discharge planning, facilitates transitions of care, and coordinates services across the continuum of care. This role collaborates closely with hospitals, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), long-term acute care hospitals (LTACHs), home health agencies, physicians, and interdisciplinary care teams.

The Concurrent Case Management LVN supports organizational goals related to quality outcomes, appropriate utilization, reduced readmissions, regulatory compliance, and continuity of care for Medicare Advantage, Medi-Cal, Commercial, and other managed care populations.

Requirements:

MINIMUM & PREFERRED QUALIFICATIONS


Education/Training

Minimum: High School diploma or equivalent required. Graduate from an accredited vocational nursing program.

Preferred: Additional training or coursework in case management, utilization management, or care coordination.


Experience

Minimum: At least two years of clinical experience as an LVN.

Preferred: Experience in concurrent review or inpatient utilization management. Experience working in a Managed Services Organization (MSO), IPA, or health plan. Experience with Medicare Advantage and Medi-Cal managed care populations. Experience using electronic medical records and care management systems. Experience coordinating post-acute services.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.


Certification(s)

Current California Licensed Vocational Nurse (LVN) license.

Basic Life Support (BLS) certification.


Skills, Knowledge & Abilities

• Knowledge of inpatient and post-acute care coordination processes
• Understanding of utilization management and medical necessity principles
• Knowledge of SNF, IRF, LTACH, home health, and hospice care settings
• Ability to monitor patient progress and identify barriers to discharge
• Strong clinical documentation and organizational skills
• Ability to work independently and collaboratively
• Strong communication and interpersonal skills
• Ability to manage multiple cases simultaneously
• Proficiency with electronic medical record and care management systems
• Knowledge of managed care and healthcare delivery systems in California
• Understanding of HIPAA and patient confidentiality requirements

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical demands described here are represented of those that must be met by an employee to successfully perform the essential functions of this job. Work is primarily performed in an office, hospital, and/or community-based setting; may require standing/walking for extended periods during onsite rounds or facility visits. Frequent use of computer, phone, and video conferencing; prolonged sitting when performing documentation and reporting. Ability to travel locally to hospitals and post-acute facilities; occasional regional travel may be required. Ability to lift/move items up to approximately 20 pounds (e.g., laptop, files, work materials). Visual and auditory acuity required to review clinical documentation and communicate effectively with patients, families, and care teams.


PAY RANGE

$35.00 - $40.00 / hourly

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