Clinical Review Nurse - Concurrent Review
Remote-ILremote$56K – $101K
Posted today · via Workday
About this role
Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member. Key Details: The position is remote/work from home; applicants must hold an IL RN licensure. The position is supporting Utilization Management/Concurrent Review for the YouthCare program. The position supports inpatient only, and will be cross trained for Prior Authorization. The work schedule is Monday - Friday 8am - 5pm central time zone; after successfully completing training could work a flex schedule.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: monday
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
monday