ZipRecruiter

Log In

1

Concurrent Review Jobs (NOW HIRING)

AltaStaff

UM Care Review Clinician

Chicago, IL · On-site

$40 - $42/hr

Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. * Additional duties assigned Education ...

AltaStaff, LLC

UM Care Review Clinician

Chicago, IL · Remote

$40 - $42/hr

Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. * Additional duties assigned Education ...

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 ...

Mindlance

Utilization Review Nurse (LPN)

Determine contract eligibility and benefit coverage related to precertification and/or concurrent review requests based upon information provided by hospital personnel, members, and providers.

Integrated Resources INC

Care Review Nurse

Columbus, OH · On-site

Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum ...

next page

Showing results 1-20

All JobsConcurrent Review Jobs

Concurrent Review information

See salary details

$15

$31

$53

How much do concurrent review jobs pay per hour?

As of Jun 30, 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 job makes $10,000 a month without a degree?

A concurrent review job typically involves evaluating insurance claims or medical records and can pay around $10,000 per month for experienced professionals. Success in this role depends on industry knowledge, attention to detail, and often requires certification or specialized training but not necessarily a college degree.

What jobs pay 2000 a day?

Jobs that can pay $2,000 a day typically include high-level consulting, specialized medical procedures, executive roles, or certain legal positions such as trial lawyers. These roles often require advanced skills, certifications, or extensive experience and may involve freelance or contract work with high hourly or project-based rates.

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 an example of a concurrent review?

A concurrent review is a process used by healthcare professionals, including those in review roles, to evaluate a patient's care while they are still hospitalized or receiving treatment. For example, a concurrent review might involve assessing the necessity of ongoing hospital stays or treatments to ensure appropriate care and resource utilization. This process often requires documentation, clinical judgment, and adherence to healthcare guidelines.

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 obtaining certifications that qualify them for higher-paying roles. Additionally, some may supplement income through per diem work, telehealth services, or consulting opportunities outside their regular schedule.

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.
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 June 2026, with employment types broken down into 100% Full Time. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.
UM Care Review Clinician

UM Care Review Clinician

AltaStaff

Chicago, IL • On-site

$40 - $42/hr

Other

Posted 12 days ago

Job description

AltaStaff is a staffing agency currently looking for a Care Review Clinician I to work with our Managed Care Client!
Pay Rate: $40 - 42.00 hourly
Schedule: Monday-Friday 9am-5:30pm CST, Rotating Saturday 7-11am CST, Rotating Holidays
This is a fully remote role but candidates must have a valid RN license in Illinois
Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for medical necessity/utilization review aimed at providing members with the right care.

  • Assess and analyze clinical service requests (e.g., surgeries, outpatient therapies, DME) using evidence-based MCP/MCG criteria.
  • Verify member benefits and eligibility and Process prior authorization determinations within regulatory timelines
  • Collaborate with multidisciplinary teams
  • Completes/reviews Authorizations, reviewing faxes that can be 50-100 pages long
  • Will be expected to manage 25-30 cases successfully daily.
  • Should be able to quickly and accurately determine whether the criteria meet medical necessity.
  • Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.
  • Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and
  • guidelines.
  • Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
  • Additional duties assigned
Education/Experience:
  • RN license in IL required
  • Must have 2+ years clinical practice experience (hospital, case management, utilization management)
  • Must have 1-3+ years of hospital or medical clinic, utilization review
  • Must have 2-3 years of Prior Authorization experience; Familiarity with Inpatient Medical Necessity
  • Must have solid experience within a clinical setting as RN's must be able to use their knowledge to extrapolate key information during the authorization process

If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
#ZR
INDLP

Apply