New

Clinical Review Nurse - Concurrent Review

Spectraforce Technologies

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Oct 02, 2026

Title: Clinical Review Nurse - Concurrent Review

Location: Remote

Duration: 06 Months - Possible extension

Mon - Fri | 8am - 5pm CST

OT needs approval (not required) | Possible Holiday (needs approval and not required)

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

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