New

Clinical Review Nurse - Concurrent Review

Spectraforce Technologies

United States, Louisiana, New Orleans

Nov 14, 2026

Position Title: Clinical Review Nurse - Concurrent Review

Work Location: Remote - CT, ET, MT (CT preferred)

Assignment Duration: 6 Months - Possible extension

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

OT needs approval (not required)

Possible Holiday (needs approval and not required) | Rotational weekend shifts

Work Arrangement: Remote

Position Summary:

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 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
Participation in rounds

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