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Remote Concurrent Review Nurse Jobs (NOW HIRING)

HealthHelp

Nurse, Concurrent Review

$75K/yr

Nurse, Concurrent Review Performs concurrent inpatient utilization review using InterQual criteria ... Start Date: Mid August Location: 100% remote Equipment: Provided (mini desktop, dual monitors ...

New

WNS Global Services

Nurse, Concurrent Review

... Performs concurrent inpatient utilization review using InterQual criteria to determine if the ... Start Date: Mid August Location: 100% remote Equipment: Provided (mini desktop, dual monitors ...

WNS

Nurse, Concurrent Review

$75K/yr

Nurse, Concurrent Review Performs concurrent inpatient utilization review using InterQual criteria ... Start Date: Mid August Location: 100% remote Equipment: Provided (mini desktop, dual monitors ...

Enterprise Engineering

Be Seen First

Concurrent Utilization Review (UR) Nurse

OR · Remote

$30 - $38/hr

Concurrent Utilization Review (UR) Nurse Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time ...

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

CorVel

CA Utilization Review Nurse I

$30.64 - $45.80/hr

This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ... Prospective, concurrent, and retrospective utilization review experience preferred * Experience in ...

AltaStaff, LLC

UM Care Review Clinician

Chicago, IL · Remote

$40 - $42/hr

This is a fully remote role but candidates must have a valid RN license in Illinois*** Position ... Provides concurrent review and prior authorizations (as needed) according to Molina policy for ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...

Oscar Health

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...

Netsmart

Utilization Review Nurse

At least 2 years utilization management experience in acute admission and concurrent reviews ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...

McBee Associates

Utilization Review Nurse

At least 2 years utilization management experience in acute admission and concurrent reviews ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Prospective, concurrent, and retrospective utilization review experience preferred * Experience in ...

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

As of Aug 19, 2026, the average hourly pay for remote 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.
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Remote Concurrent Review Nurse jobs near you
Infographic showing various Remote Concurrent Review Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Clinical Review Nurse - Concurrent Review

Centene Corporation

Remote

$27.02 - $48.55/hr

Other

Medical, Retirement, PTO

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

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 404 frontline employees who took The Breakroom Quiz

14th of 889 rated healthcare providers

Job description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Work Location
This is a fully remote role. Candidates must hold active New York State Registered Nurse (RN) licensure and be willing to work Eastern Time (ET/EST) hours.
Licensure Requirement
Active and unrestricted New York State Registered Nurse (RN) licensure is strongly preferred for consideration.
Schedule
This position follows a Monday-Friday schedule from 8:30 AM to 5:00 PM Eastern Time (ET/EST), with a one-hour assigned lunch break. Candidates must be able to work during these hours.
Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member.

  • Performs concurrent reviews of member for appropriate care and setting to determine overall health and appropriate level of care
  • Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of member
  • Works with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered
  • Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines
  • Works with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings
  • Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members
  • Provides feedback to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical policies and guidelines
  • Reviews member's transfer or discharge plans to ensure a timely discharge between levels of care and facilities
  • Collaborates with care management on referral of members as appropriate
  • Performs other duties as assigned.
  • Complies with all policies and standards.
Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing and 2 - 4 years of related experience. 2+ years of acute care experience required.
Preferred experience:
  • Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred.
  • Knowledge of Medicare and Medicaid regulations preferred.
  • Knowledge of utilization management processes preferred.
License/Certification:
  • LPN - Licensed Practical Nurse - State Licensure required
  • NYS RN Licensure Strongly Preferred

Pay Range: $27.02 - $48.55 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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