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Inpatient Review Nurse Jobs (NOW HIRING)

Care Navigators On Demand

LVN Discharge Planner

Ontario, CA · On-site

$28 - $37.50/hr

Job Opportunity Under the direction of the Inpatient Review Nurse Manager and Supervisor, the incumbent will work with their respective Team Centers, that may include a Concurrent Review Nurse and ...

Care Navigators On Demand

LVN Discharge Planner

Ontario, CA · On-site

$28 - $37.50/hr

Job Opportunity Under the direction of the Inpatient Review Nurse Manager and Supervisor, the incumbent will work with their respective Team Centers, that may include a Concurrent Review Nurse and ...

Leon Medical Center

NY · On-site

$80 - $100/hr

This is achieved through the review of inpatient admissions, outpatient precertification, and prior ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...

New

Leon Medical Centers

Concurrent Review Nurse

Doral, FL · On-site

This is achieved through the review of inpatient admissions, outpatient precertification, and prior ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...

Leon Health Plan

Concurrent Review Nurse

Doral, FL · On-site

This is achieved through the review of inpatient admissions, outpatient precertification, and prior ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...

Actalent

Concurrent Review Nurse

Houston, TX · On-site

The nurse collaborates closely with physicians, case managers, social workers, and other healthcare ... Perform concurrent reviews of inpatient acute and post-acute cases to assess medical necessity ...

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

... inpatient bed days and associated discharge/transitional care plans are appropriate. The ... Review Nurse provides clinical review for different healthcare services requiring authorization ...

Shannon Health

Utilization Review Nurse

Big Spring, TX · On-site

Three years of experience in Inpatient Utilization Review Certification/Licensure: * Required * Registered Nurse (RN), with authorization to practice in the State of Texas * Preferred * Accredited ...

HandsOn Global Management

Be Seen First

UM Review Nurse

Tampa, FL · Remote

$36 - $40/hr

Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews ... Licensed RN or LPN required. * Minimum of two to three years varied clinical experience required.

Sentara Health Plans

$67 - $111/hr

Nurses participate in a self‑scheduling process and are expected to work 13 weekend day shifts ... Conducts primary functions of prior authorization, inpatient review, concurrent review ...

New

Actalent

Clinical Concurrent Review Nurse

Phoenix, AZ · On-site

The nurse collaborates closely with physicians, case managers, social workers, and other healthcare ... Perform concurrent reviews of inpatient acute and post-acute cases to assess medical necessity ...

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Inpatient Review Nurse information

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$17

$38

$65

How much do inpatient review nurse jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for inpatient review nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is an inpatient review nurse?

Inpatient Review Nurses are registered nurses who assess and review the medical necessity, appropriateness, and quality of care provided to patients admitted to hospitals or other inpatient settings. They evaluate patient records, treatment plans, and coverage policies to ensure compliance with healthcare regulations and payer requirements. Their primary goal is to promote efficient, cost-effective, and high-quality care while also preventing unnecessary hospital stays or procedures.

What are the key skills and qualifications needed to thrive as an inpatient review nurse?

To thrive as an Inpatient Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in utilization review or case management. Familiarity with utilization management software, electronic health records (EHR), and knowledge of regulatory guidelines like Medicare and Medicaid are typically required. Exceptional communication, critical thinking, and attention to detail are valuable soft skills in this role. These skills ensure accurate patient care evaluations, regulatory compliance, and effective collaboration with healthcare teams for optimal outcomes.

How does an inpatient review nurse typically collaborate with physicians and case managers during patient care reviews?

Inpatient Review Nurses work closely with physicians and case managers to ensure that patient care plans meet established medical guidelines and insurance requirements. They frequently participate in interdisciplinary team meetings, provide clinical insights on patient progress, and help coordinate discharge planning. Effective communication and documentation are essential as they often clarify medical necessity and advocate for appropriate patient care. This collaborative environment supports both optimal patient outcomes and compliance with healthcare policies.

What is the difference between Inpatient Review Nurse vs Outpatient Review Nurse?

AspectInpatient Review NurseOutpatient Review Nurse
CertificationsRN license, case management certification often preferredRN license, case management certification often preferred
Work EnvironmentHospitals, inpatient facilitiesClinics, outpatient centers
Job FocusReviewing inpatient hospital stays, ensuring appropriate care and length of stayReviewing outpatient services, follow-up care, and outpatient procedures
Employer & IndustryHospitals, health systemsOutpatient clinics, specialty centers

The main difference between an Inpatient Review Nurse and an Outpatient Review Nurse lies in their work settings and focus. Inpatient Review Nurses primarily evaluate hospital stays and inpatient care, while Outpatient Review Nurses focus on outpatient services and follow-up care. Both roles require RN licensure and often involve case management certifications, but their daily responsibilities and environments differ significantly.

How to become an inpatient review nurse?

To become an inpatient review nurse, you typically need to hold a registered nurse (RN) license, which requires completing an accredited nursing program and passing the NCLEX-RN exam. Relevant experience in medical-surgical or acute care settings, along with knowledge of insurance and healthcare policies, is often preferred. Additional certifications such as case management or utilization review may enhance job prospects.
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Inpatient Review Nurse jobs near you
Infographic showing various Inpatient Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

LVN Discharge Planner

Care Navigators On Demand

Ontario, CA • On-site

$28 - $37.50/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job Opportunity

Under the direction of the Inpatient Review Nurse Manager and Supervisor, the incumbent will work with their respective Team Centers, that may include a Concurrent Review Nurse and Inpatient Coordinator, along with hospitals and IPAs, to initiate coordinated and continuous cost-effective discharge planning to ensure the continuity Member's care needs are met timely and readmission prevention is anticipated for IEHP Members. Major Functions (Duties and Responsibilities) include:

  • Assisting with data collection for utilization review, including Member specific needs for daily review in anticipation of discharge needs within 24 hours of admission.
  • Arranging transitions to lower or higher level of care and assisting with transfer orders as needed.
  • Authorizing outpatient services or ancillary services in preparation for the Member's discharge including home care, home therapies, and durable medical equipment.
  • Ensuring that discharge needs for Members include referring Members to Health Management, Health Education, Care Management, Behavioral Health or other internal or external programs as needed.
  • Anticipating and acting upon barriers to ensure effective Member progression by identifying clinical, operational, financial, and social issues that may affect patient outcomes and providing recommendations to the Concurrent Review Nurse for collaboration in an effort to assist Members with adhering to treatment plans and goals.
  • Assisting Team Center with the identification of Members who are at risk for extended lengths of stay, readmission, high utilization and/or complex discharge needs within the LVN scope of practice.
  • Ensuring timely compliance and completion of cases as required by regulatory requirements.
  • Working with other Team Members, departments, IPAs, and the facilities to support the goals of the department as well as strategic priorities and vision of the organization.

Care Navigators On Demand is an Equal Opportunity Employer and does not discriminate on the basis of race or ethnicity, religion, sex, national origin, age, veteran disability or genetic information or any other reason prohibited by law in employment.

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