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Concurrent Review Nurse
Spectraforce
US
Remote

4 days ago

Job Description

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:

    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


       

 
Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 39.00/hr.

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