Clinical Review Nurse - Concurrent Review

Spectraforce Technologies; Louisville (KY); Remote; USD 55,000 - 83,000; Full time

Job summary

Spectraforce Technologies, Inc. is seeking a Clinical Review Nurse for concurrent reviews related to KY Medicaid inpatient stays. The position supports Marketplace and Medicaid lines with a small, busy team in a remote-capable setup requiring KY or compact state licensure.

Role involves high-volume review work, potential extension or conversion, and a need for tech-savviness. Typical shifts are Tue–Sat 8:00–17:00 EST; some 4–10 hour shifts may be available, depending on scheduling.

Qualifications

• Graduate of an Accredited School Nursing or Bachelor's degree and 2-4 years of related experience.
• LPN required; RN preferred.
• ICU, Med-surge, Acute Care experience preferred.
• Disqualifiers: no UM background; must be tech savvy.

Skills

Extensive clinical background

Technologically Savvy

Multi-tasking

Education

Bachelor's degree in Nursing

LPN license

RN license

BSN preferred

Job description

Title:

Clinical Review Nurse- Concurrent Reviews

Location:

Remote- KY or Compact state license

Duration:

6 months with possible extension or conversion

Schedule:

Tues- Sat 8-5pm EST

This is an every Saturday position and manager is open to 4-10 hour shifts

Job Summary:

My team does concurrent reviews for KY Medicaid's inpatient medical stays. This is a position to help with the Marketplace and Medicaid line of business due to volume. The team is small and tight knit. It is a busy market. There is potential for upcoming hiring needs depending on how the medical leaves play out.

Candidate Requirements

Required: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 - 4 years of related experience.

Preferred: BSN

Required: LPN

Preferred: RN

Years of experience required: 2-4 years of related experience.

Disqualifiers: no UM background- must be tech savvy

Additional qualities to look for: ICU, Med-surge, Acute Care experience preferred.

Top 3 must-have hard skills stack-ranked by importance

• Extensive clinical background.
• Technologically Savvy
• Must be able to multi-task.