Concurrent Review Nurse

Position Title : Concurrent Review Nurse

Work Location : Remote

Assignment Duration : 6 months

Work Schedule : Sunday-Thursday 8am-5pm, OT on a case by case basis

Work Arrangement : Remote

Position Summary :

Conduct clinical reviews to assess medical necessity and continued stay criteria. Document findings accurately and timely in our review system. Communicate with hospital case managers, providers, and internal teams to coordinate care and discharge planning. Respond to escalations or requests for additional information from utilization management or quality teams. Track and prioritize cases to ensure compliance with turnaround standards.

Background & Context :

Our work environment is collaborative, supportive, and focused on teamwork. We rely on clear communication and trust to manage complex reviews and maintain consistency. While the work can be fast-paced, the team prioritizes mutual support and professional growth.

Key Responsibilities :

Conduct clinical reviews to assess medical necessity and continued stay criteria.

Document findings accurately and timely in the review system.

Communicate with hospital case managers, providers, and internal teams to coordinate care and discharge planning.

Respond to escalations or requests for additional information from utilization management or quality teams.

Track and prioritize cases to ensure compliance with turnaround standards.

Qualification & Experience :

Education / Certification Required : ADN or BSN

Licensure Required : RN

Must Haves : 3-5 years Acute Clinical experience (ER, ICU, IMC)

Nice to Haves : Concurrent Review experience

Performance Indicators :

Clinical Experience / Bedside nursing experience at minimum 3 years

Technologically inclined

Candidate Requirements

Required : ADN or BSN

Preferred : Required : RN

Preferred : Required : RN

• Disqualifiers
• Best vs. average
• Performance indicators

Must haves : 3-5 years Acute Clinical experience. Ie : ER, ICU, IMC

Nice to haves : Concurrent Review experience

Disqualifiers :

Performance indicators :

Clinical Experience / Bedside nursing experience at minimum 3 years.

Technologically inclined

Organizational skills and prioritization skills, critical thinking skills