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Um Concurrent Review Nurse Jobs (NOW HIRING)

NY ยท On-site

$80 - $100/hr

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.

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 ...

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 ...

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

As of Sep 9, 2026, the average hourly pay for um 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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Infographic showing various Um Concurrent 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, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Clinical Review Nurse - Concurrent Review

Raleigh, NC โ€ข On-site

Spectraforce Technologies
Recruiting and Staffing Servicesย โ€ขย 1 - 5K employees

Other

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Job Title: Clinical Review Nurse - Concurrent Review
Location:Remote- Nationally but must have Compact license if not in KY (ok with all time zones but must work EST)
Duration : 6 months
Shift :
Mon- Fri 8-5pm EST
Job Description:

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


Candidate Requirements

Education/Certification

Required: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 - 4 years of related experience.

Preferred: BSN

Licensure

Required: LPN

Preferred: RN

Years of experience required: 2-4 years of related experience.

Disqualifiers: no UM background- must be tech savvy

Additional qualities to look for: ICU, Med-surge, Acute Care experience preferred.

  • Top 3 must-have hard skills stack-ranked by importance


1

Extensive clinical background.

2

Technologically Savvy

3

Must be able to multi-task.