New

Clinical Review Nurse - Concurrent Review

Spectraforce Technologies

United States, Texas, Houston

Nov 14, 2026

Position Title: Clinical Review Nurse - Concurrent Review

Work Location: Remote - CST, EST (CST preferred)

Assignment Duration: 6 Months potential to extend

Work Schedule: Mon - Fri 8am - 5pm CST

OT needs approval (not required)

Possible Holiday (needs approval and not required)

Work Arrangement: Remote

Position Summary: Review clinical charts for medical necessity for inpatient admissions. Review concurrently as long as they remain in-house/inpatient until discharged.

Background & Context: Backfill for temporary worker that resigned plus 2 new positions. Business Unit: The Organization health plan.

Key Responsibilities:

* Review clinical charts for medical necessity for inpatient admissions

* Review concurrently as long as they remain in-house/inpatient until discharged

* Utilize InterQual to review medical necessities

* Make appropriate referrals for members depending on their clinical presentation

* No direct communication to members

Qualification & Experience:

Candidate Requirements
Education/Certification	Required: Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing and 2-4 years of related experience	Preferred:
Licensure	Required: Registered Nurse or LPN License	Preferred: Registered Nurse License - compact
Years of experience required: Requires at least two years of Acute Care or ICU care experience. Disqualifiers: No Acute Care or ICU care experience Additional qualities to look for: adaptable, flexible, good time management skills, team player
Top 3 must-have hard skills stack-ranked by importance	1	Minimum of 2 years of Acute or ICU clinical experience
2	Organizes and prioritizes effectively
3	Problem-solving skills