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Full Time Concurrent Review Nurse Jobs (NOW HIRING)

Leon Medical Centers

Concurrent Review Nurse

Doral, FL · On-site

Under the general supervision of the Director of Health Services, the Concurrent Review Nurse is responsible for ensuring the delivery of medically necessary, high-quality, and cost-effective care.

Leon Health, Inc.

Concurrent Review Nurse

Doral, FL · On-site

Under the general supervision of the Director of Health Services, the Concurrent Review Nurse is responsible for ensuring the delivery of medically necessary, high-quality, and cost-effective care.

Leon Health Plan

Concurrent Review Nurse

Doral, FL · On-site

Under the general supervision of the Director of Health Services, the Concurrent Review Nurse is responsible for ensuring the delivery of medically necessary, high-quality, and cost-effective care.

iPlace USA

Concurrent Review Nurse

Bedford, NH · On-site

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 ...

iPlace USA

Concurrent Review Nurse

Bedford, NH · On-site

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 ...

P3 Health Partners

Concurrent Review RN

Salem, OR · On-site

$90K - $100K/yr

P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive the right care, at the right time, and in the most appropriate setting. In this role, you'll ...

P3 Health Partners

Concurrent Review RN

Salem, OR · On-site

$90K - $100K/yr

P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive the right care, at the right time, and in the most appropriate setting. In this role, you'll ...

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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 Aug 16, 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.

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.

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:

Full Time Concurrent Review Nurse jobs near you

Concurrent Review Nurse

Leon Medical Centers

Doral, FL • On-site

Full-time

Posted 4 days ago

Job description

Under the general supervision of the Director of Health Services, the Concurrent Review Nurse is responsible for ensuring the delivery of medically necessary, high-quality, and cost-effective care. This is achieved through the review of inpatient admissions, outpatient precertification, and prior authorization requests, using established medical policies, evidence-based guidelines, and managed care standards.
Essential Duties and Responsibilities
  • Lead, train, and support both clinical and non-clinical staff in accordance with Leon Health's policies and procedures to ensure efficient and effective performance.
  • Monitor and respond to incoming calls and written inquiries from members, providers, and internal departments.
  • Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate prioritization.
  • Enter service requests and determination data into the appropriate systems in compliance with regulatory requirements and organizational policies.
  • Review clinical documentation for precertification and concurrent (ongoing) reviews.
  • Perform on-site and/or telephonic reviews to determine the appropriateness of inpatient and outpatient care settings, using medical policies, CMS guidelines, and industry standards.
  • Conduct medical and behavioral health (BH) reviews for pre- and post-service authorization requests.
  • Issue authorizations for inpatient admissions, outpatient services, and post-service requests to providers, facilities, and members as applicable.
  • Refer complex cases to a Medical Director or Behavioral Health Practitioner when additional clinical evaluation is required.
  • Ensure all documentation is complete, accurate, and clearly supports authorization decisions.
  • Process denial determinations in compliance with regulatory standards and internal policies.
  • Maintain up-to-date census reports, daily notes, and authorization records, including tracking admissions and discharges.
  • Collaborate with healthcare providers to obtain necessary clinical documentation for medical necessity determinations.
  • Work with providers to proactively identify discharge needs and assist in care planning.
  • Facilitate smooth care transitions across the healthcare continuum by coordinating with facilities and the Care Management team.

Education
  • Bachelor's degree in Nursing required

Experience
  • Minimum of two (2) years of experience in clinical review or utilization management

Language Skills
  • Bilingual in English and Spanish (required)

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