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Full Time Concurrent Review Nurse Jobs (NOW HIRING)

Company Description It is a full time job for a fortune 500 company. * Discharge planning ... review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical nursing ...

Company Description It is a full time job for a fortune 500 company. * Discharge planning ... review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical nursing ...

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Full Time Concurrent Review Nurse information

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How much do full time concurrent review nurse jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for full time concurrent review nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

How to make $300,000 as a nurse?

Full Time Concurrent Review Nurses can increase their earnings by gaining specialized certifications, such as case management or utilization review, and working in high-paying settings like insurance companies or healthcare consulting firms. Advancing to senior or managerial roles, working overtime, or taking on additional responsibilities can also help reach higher income levels, but earning $300,000 typically requires significant experience and possibly multiple income streams within the healthcare industry.

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

Full Time Concurrent Review Nurses can increase their income by taking on overtime shifts, working in high-demand specialties, or obtaining additional certifications such as case management or utilization review. Freelance consulting or part-time roles in telehealth can also provide extra income, depending on scheduling flexibility and experience.

What does a concurrent review nurse do?

A concurrent review nurse evaluates patient care and medical records during hospitalization to ensure treatments meet clinical guidelines and insurance requirements. They collaborate with healthcare providers to approve, modify, or deny ongoing care, often using electronic health records and clinical criteria. This role requires strong clinical knowledge and attention to detail to facilitate appropriate patient care and resource utilization.

What is the difference between Full Time Concurrent Review Nurse vs Utilization Review Nurse?

AspectFull Time Concurrent Review NurseUtilization Review Nurse
CertificationsRN license, possibly CCRN or other certificationsRN license, certifications vary by employer
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, healthcare organizations
Job FocusReal-time review of patient care during hospitalizationReview of medical necessity for services, often pre- or post-admission

Both roles involve reviewing patient care, but the Full Time Concurrent Review Nurse focuses on real-time, in-hospital assessments, while the Utilization Review Nurse often handles pre- or post-service reviews. The roles share similar certifications and work environments, but differ in their specific review timing and focus.

How to make $200,000 a year as a nurse?

Full Time Concurrent Review Nurses can increase their earnings by gaining specialized certifications, such as case management or utilization review, and accumulating experience in high-demand healthcare settings. Working overtime, taking on leadership roles, or pursuing advanced degrees like a master's in nursing can also help reach higher salary levels, with some nurses earning $200,000 or more annually through these strategies.
What cities are hiring for Full Time Concurrent Review Nurse jobs? Cities with the most Full Time Concurrent Review Nurse job openings:
What are the most commonly searched types of Concurrent Review Nurse jobs? The most popular types of Concurrent Review Nurse jobs are:
Concurrent Review Nurse

Concurrent Review Nurse

Palm Medical Centers

Miami, FL • On-site

Full-time

Posted 9 days ago


Job description

Position Summary:
The Concurrent Review Nurse is responsible for performing utilization management activities to ensure medical services are delivered effectively, efficiently, and appropriately. This includes reviewing inpatient admissions and ongoing hospital stays to determine medical necessity, appropriateness of care, and length of stay in accordance with clinical guidelines and payer requirements.
Key Responsibilities:
  • Conduct timely and accurate concurrent reviews of inpatient hospitalizations and other levels of care.
  • Evaluate clinical documentation against evidence-based criteria (e.g., InterQual®, MCG) to determine medical necessity and appropriate level of care.
  • Collaborate with physicians, hospital staff, and insurance companies to coordinate patient care and discharge planning.
  • Communicate utilization review decisions and recommendations to providers and payers.
  • Document all reviews, decisions, and communications in accordance with regulatory and organizational standards.
  • Identify cases requiring escalation or peer review and follow established procedures.
  • Ensure compliance with CMS guidelines, accreditation standards (e.g., NCQA, URAC), and HIPAA.
  • Participate in quality improvement initiatives and departmental meetings
Qualifications:
Education & Licensure:
  • Registered Nurse (RN) license, active and in good standing, required.
  • Associate or Bachelor’s degree in nursing (BSN preferred).
Experience:
  • Minimum 2 years of clinical experience (e.g., med-surg, critical care).
  • At least 1 year of utilization review, case management, or managed care experience preferred.
Skills & Competencies:
  • Knowledge of InterQual®, MCG, or other clinical review guidelines.
  • Familiarity with Medicare/Medicaid and commercial insurance regulations.
  • Strong analytical and clinical judgment skills.
  • Effective communication and negotiation skills.
  • Proficient with electronic medical records (EMRs) and utilization review platforms.
  • Detail-oriented with excellent organizational skills.
Work Environment:
  • Corporate Office

Palm Medical Centers is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Medical Centers makes hiring decisions based solely on qualifications, merit, and business needs at the time. 

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