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:

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  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:

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  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:

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

  
  
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  Document findings accurately and timely in the review system.

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

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

  
  
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  Track and prioritize cases to ensure compliance with turnaround standards.

  
  

Qualification & Experience:

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  Education/Certification Required: ADN or BSN

  
  
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  Licensure Required: RN

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

  
  
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  Nice to Haves: Concurrent Review experience

  
  
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  Performance Indicators:

  
  
  
  
  1. 
     

     Clinical Experience/Bedside nursing experience at minimum 3 years

     
     
  2. 
     

     Technologically inclined

     
     
     
     
     
     
     

     Candidate Requirements
     Required: ADN or BSN	Preferred:
     Required: RN	Preferred:
     Years of experience required 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:
     Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Clinical Experience/Bedside nursing experience at minimum 3 years.
     2	Technologically inclined
     3	Organizational skills and prioritization skills, critical thinking skills