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Per Diem Concurrent Review Nurse Jobs (NOW HIRING)

Leon Medical Centers

Concurrent Review Nurse

Miami, FL · On-site

Concurrent Review Nurse 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 ...

Leon Health, Inc.

Concurrent Review Nurse

Miami, 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 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

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.

Actalent

Clinical Concurrent Review Nurse

Phoenix, AZ · On-site

Actalent is Hiring a Team of Concurrent Review Nurses (Utilization Management)!! This role performs concurrent reviews of inpatient acute and post-acute cases to determine medical necessity, evaluate ...

New

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 ...

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 ...

Centene

Clinical Review Nurse - Concurrent Review

$27.02 - $48.55/hr

Performs concurrent reviews, including determining member's overall health, reviewing the type of ... Pay Range: $27.02 - $48.55 per hour At Centene, we connect people to the care they need to live ...

HealthHelp

Nurse, Concurrent Review

$75K/yr

Nurse, Concurrent Review Performs concurrent inpatient utilization review using InterQual criteria ... Refers cases to a Physician Reviewer or to a Specialty Program Medical Director per guidelines.

WNS Global Services

Nurse, Concurrent Review

... per guidelines • Assists Physician Reviewers and Medical Directors, as necessary, to ensure ... Nursing Management • Functions as subject matter expert to support Compliance Department ...

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

As of Aug 23, 2026, the average hourly pay for per diem 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.

Do per diem concurrent review nurses make more money?

Per diem concurrent review nurses often earn higher hourly rates compared to full-time staff nurses due to the flexible and temporary nature of their work. However, they typically do not receive benefits like health insurance or paid time off, which can affect overall compensation. Their pay can also vary based on experience, location, and the healthcare facility's policies.

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Per Diem Concurrent Review Nurse jobs near you

Concurrent Review Nurse

Leon Medical Centers

Miami, FL • On-site

Other

Posted 11 days ago

Job description

Concurrent Review Nurse

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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