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Hourly Concurrent Review Nurse Jobs (NOW HIRING)

iPlace USA

Concurrent Review Nurse

Bedford, NH · On-site

Perform onsite review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical nursing experience in an acute care. * Current state's RN license. Additional Information ...

iPlace USA

Concurrent Review Nurse

Bedford, NH

Perform onsite review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical nursing experience in an acute care. * Current state's RN license. Additional Information ...

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Hourly Concurrent Review Nurse information

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$68

How much do hourly concurrent review nurse jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for hourly 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 Hourly Concurrent Review Nurse vs Utilization Review Nurse?

AspectHourly Concurrent Review NurseUtilization Review Nurse
CertificationsRN license, possibly certifications in case management or utilization reviewRN license, certifications in case management or utilization review
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, healthcare organizations, managed care
Job FocusReal-time review of patient care during hospitalizationAssessment of medical necessity for services, prior or concurrent review

Both roles require RN licensure and similar certifications, with overlapping work environments in healthcare and insurance sectors. The main difference is that the Hourly Concurrent Review Nurse focuses on real-time, in-hospital patient care reviews, while the Utilization Review Nurse often handles broader assessments of medical necessity, including prior authorizations. Understanding these distinctions helps professionals and employers align job expectations and career paths effectively.

What cities are hiring for Hourly Concurrent Review Nurse jobs? Cities with the most Hourly 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:
What states have the most Hourly Concurrent Review Nurse jobs? States with the most job openings for Hourly Concurrent Review Nurse jobs include:
Hourly Concurrent Review Nurse jobs near you
Concurrent Review Nurse

Concurrent Review Nurse

Palm Medical Centers

Miami, FL • On-site

Full-time

Posted 10 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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