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Um Concurrent Review Nurse Jobs (NOW HIRING)

HandsOn Global Management

UM Review Nurse

Tampa, FL · Remote

$36 - $40/hr

PURPOSE AND SCOPE: The UM Nurse Reviewer is responsible for the medical necessity review of ... Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews ...

Astiva Health, Inc

UM Nurse Reviewer

Orange, CA · On-site

The nurse also issues timely and accurate denial, deferral, or authorization letters, manages ... clinical & concurrent review processes, and supports compliance with health plan guidelines.

Nevada City

Concurrent Review

Nevada, MO · On-site

$20.37/hr

Graduate of an Accredited School of Practical Nursing or Registered Nursing or Graduate of an approved program in Respiratory Care or BSW/MSW from accredited school of social work required or similar ...

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

The nurse also issues timely and accurate denial, deferral, or authorization letters, manages ... clinical & concurrent review processes, and supports compliance with health plan guidelines.

Integrated Resources

Care Review Nurse

Columbus, OH · On-site

Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient ... and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost ...

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

$75K - $95K/yr

The nurse also issues timely and accurate denial, deferral, or authorization letters, manages ... clinical & concurrent review processes, and supports compliance with health plan guidelines.

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

$75K - $95K/yr

The nurse also issues timely and accurate denial, deferral, or authorization letters, manages ... clinical & concurrent review processes, and supports compliance with health plan guidelines.

Medix

SNF Review Nurse (LVN or RN)

Orange, CA · On-site

$38 - $51/hr

... UM) Nurse to manage the end-to-end utilization management process, including inpatient review, concurrent review, and discharge planning. The ideal candidate has strong experience in MCG criteria ...

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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.

UM Review Nurse

Tampa, FL • Remote

HandsOn Global Management
See more jobs at HandsOn Global Managementexternal

$36 - $40/hr

Full-time

Medical, PTO

Posted 23 days ago

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.