ZipRecruiter

Log In

2

Remote Concurrent Review Nurse Jobs (NOW HIRING)

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.

New

AltaStaff, LLC

Care Review Clinician

Springfield, 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 ...

New

AltaStaff, LLC

Care Review Clinician

Cherry Valley, 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 ...

New

Netsmart

Utilization Review Nurse (PRN)

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

McBee Associates

Utilization Review Nurse (PRN)

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

Actalent

Clinical Review Nurse - Remote

$34 - $40/hr

Clinical Review Nurse (Remote) Position Summary: We are seeking a detail-oriented and clinically skilled Clinical Review Nurse to join our team in a fully remote role. The Clinical Review Nurse is ...

New

University of Utah

Utilization Review Nurse

Communication to third-party payers for initial and concurrent clinical review. * Reviews patient ... Performs verbal/fax clinical review with payer as determined by nursing judgment and/or ...

WorkPath Partners

Care Review Clinician

Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team * Identifies appropriate benefits, eligibility, and expected ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...

previous pagenext page

Showing results 21-40

All Jobsremote JobsHealthcare JobsNursing JobsUtilization Review Nurse JobsRemote Concurrent Review Nurse Jobs

Remote Concurrent Review Nurse information

See salary details

$21

$42

$68

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

As of Aug 20, 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.
More about Remote Concurrent Review Nurse jobs

What cities are hiring for Remote Concurrent Review Nurse jobs?

Cities with the most Remote 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 Remote Concurrent Review Nurse jobs?

States with the most job openings for Remote Concurrent Review Nurse jobs include:

What job categories do people searching Remote Concurrent Review Nurse jobs look for?

The top searched job categories for Remote Concurrent Review Nurse jobs are:

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.

UM Review Nurse

HandsOn Global Management

Tampa, FL • Remote

$36 - $40/hr

Full-time

Medical, PTO

Posted 3 days ago

New

Be Seen First

After you apply to this job, you can share why you’re interested to jump to the top of the candidate list.

Job description

PURPOSE AND SCOPE:

The UM Nurse Reviewer is responsible for the medical necessity review of outpatient services that

require prior authorization, and /or management of concurrent inpatient admissions. The medical

necessity review process includes assessment and interpretation of plan specific benefits, medical

criteria, and clinical documentation.

PRINCIPAL RESPONSIBILITIES AND DUTIES

• Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews

(UR) using evidence-based guidelines, policies and nationally recognized clinical criteria, and internal

policies and procedures.

• Evaluates severity of illness and intensity of service of member’s needs at time of inpatient

admission utilizing approved criteria.

• Triage and prioritize cases and other assigned duties to meet CMS turnaround time standards.

• Prepare and escalate cases to MDs for review when appropriate.

• Demonstrates effective communication methods and skills, using lines of authority appropriately.

• Establishes a relationship with providers to determine/provide needed services to member.

• Maintains accurate record of UR activities.

• Regular attendance is required as employee works as part of a team & requires interaction with

medical staff and clients.

• Adheres to quality standards and confidentiality policies and procedures.

• Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.

• Adapts to changes in policies, procedures, new techniques, and additional responsibilities.


CUSTOMER SERVICE:

• Responsible for driving the HealthOps culture through values and customer service standards.

• Accountable for outstanding customer service to all external and internal contacts.

• Develops and maintains positive relationships through effective and timely communication.

• Takes initiative and action to respond, resolve and follow up regarding customer service issues with all

customers in a timely manner.


EDUCATION, EXPERIENCE AND REQUIRED SKILLS:

• Licensed RN or LPN required.

• Minimum of two to three years varied clinical experience required.

• Managed care experience preferred.

• An equivalent combination of education, training, and experience.

• Ability to read and interpret documents and calculate figures and amounts.

• Excellent oral and written communication skills including good grammar, voice and diction.

• Proficient in MS Office with basic computer and keyboarding skills.

• Excellent customer service skills (friendly, courteous and helpful).

• InterQual experience helpful.

Company Description

HandsOn Global Management (“HGM”) is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio. We specialize in technology platforms, analytics and business process services.

Headquartered in Santa Monica, CA, HandsOn Global Management (“HGM”) manages a number of funds and investments in partnership with some of the world’s largest investment banks, private equity groups and global financial institutions. Over the last decade, HGM has completed several acquisitions, integrated them and taken some public. Companies acquired and controlled by HGM employ over 17,000 people in the Americas, EMEA, and Asia, and have over 50% of the Fortune 100® as customers.

HGM’s main focus is on acquiring synergetic assets in U.S. and emerging markets, which yield above-market returns. To achieve this goal, HGM invests in companies with strong fundamentals and significant performance improvement potential, where the HGM team can apply their hands-on approach to managing portfolio companies, as well as their investment discipline and technology to increase the overall value proposition of each portfolio company.