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:
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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:
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Clinical Experience/Bedside nursing experience at minimum 3 years
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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
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- 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.