Clinical Review Nurse - Concurrent Review

Job Title: Clinical Review Nurse - Concurrent Review - J00933 Address: Various, IL 99999 Job Description Conduct concurrent review of clinical cases to assess appropriateness of care. Collaborate with healthcare providers to evaluate patient records and treatment plans. Ensure compliance with healthcare policies and regulations during reviews. Document findings and communicate recommendations clearly. Prioritize cases based on urgency and clinical significance. Critical Information Thursday through Monday, 10:00 AM – 6:30 PM CST Remote or on-site flexible working environment Schedule updated; shortlisting on 09/15 Compliance with healthcare standards required Education/Licenses Needed Active nursing license (e.g., RN, LPN, or equivalent) Clinical review certification preferred Benefits: Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available after 1 year of service. This is an AI-formatted job description; recruiter confirmation required.