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Inpatient Concurrent Review Jobs (NOW HIRING)

This is achieved through the review of inpatient admissions, outpatient precertification, and prior ... Review clinical documentation for precertification and concurrent (ongoing) reviews. * Perform on ...

NY · On-site

$80 - $100/hr

This is achieved through the review of inpatient admissions, outpatient precertification, and prior ... Review clinical documentation for precertification and concurrent (ongoing) reviews. * Perform on ...

This role performs concurrent reviews of inpatient acute and post-acute cases to determine medical necessity, evaluate the appropriateness of the level of care, and support safe and timely discharge ...

This is achieved through the review of inpatient admissions, outpatient precertification, and prior ... Review clinical documentation for precertification and concurrent (ongoing) reviews. * Perform on ...

Perform concurrent reviews for acute inpatient admissions and continued hospital stays * Evaluate medical necessity, severity of illness, intensity of service, and level of care using evidence-based ...

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How much do inpatient concurrent review jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for inpatient concurrent review 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 are popular job titles related to Inpatient Concurrent Review jobs?

For Inpatient Concurrent Review jobs, the most frequently searched job titles are:

Infographic showing various Inpatient Concurrent Review job openings in the United States as of June 2026, with employment types broken down into 81% Full Time, 16% Part Time, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Clinical Review Nurse Inpatient Concurrent Review

Actalent

Saint Louis, MO • On-site

$34 - $40/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago


Job description

Job Title: Registered Nurse - Duals Program Utilization Management
Job Description
Join a dynamic team in a brand new 2026 program dedicated to managing the Duals line of business, combining Medicare and Medicaid benefits into a single comprehensive service. This program operates in eight states and may expand further in 2027. The role involves managing the complexities of both Medicare and Medicaid requirements simultaneously, focusing on inpatient concurrent reviews.
Responsibilities
  • Conduct inpatient concurrent reviews, averaging 2 reviews per hour.
  • Manage both Medicare and Medicaid requirements effectively.
  • Perform clinical reviews
  • Utilize InterQual for medical management and decision-making.
  • Ensure compliance with managed care policies and procedures.
Essential Skills
  • Registered Nurse (RN) with a compact license.
  • Experience in Utilization Management (UM).
  • Proficient in concurrent review
  • Strong computer skills and ability to use medical management software.
  • Ability to perform real-time (Concurrent) review of inpatient cases
  • Strong understanding of medical necessity guidelines, such as InterQual or MCG
  • Skilled at interpreting clinical documentation and determining appropriate levels of care
  • Experience in acute care, Medicaid, and Medicare

Work Environment
Training lasts approximately two weeks, followed by mentorship from a preceptor. Work hours start around 9 or 10 AM, with the ability to work as late as 7 PM, and you must work within your time zone. Candidates in Central, Pacific, and Mountain time zones are preferred. Schedule: Tuesday-Saturday OR Sunday- Thursday 8 to 5pm, Mountain time
Job Type & Location
This is a Contract to Hire position based out of St. Louis, MO.
Pay and Benefits
The pay range for this position is $34.00 - $40.00/hr.
Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Sep 10, 2026.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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About Actalent

Sourced by ZipRecruiter

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We're supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

Industry

Business management consulting

Company size

5,001 - 10,000 Employees

Headquarters location

Hanover, MD, US

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