Remote Clinical Review Nurse - Concurrent Care Evaluator

A-Line Staffing Solutions; Illinois; Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Benefits after 90 days

401(k) with company match after 1 year

Job summary

A-Line Staffing Solutions seeking a Clinical Review Nurse to conduct concurrent reviews of clinical cases and assess appropriateness of care. The role supports collaboration with healthcare providers and evaluation of patient records across varied settings.

The position offers remote or on-site flexibility with a 10:00 AM–6:30 PM CST schedule from Thursday to Monday, and compliance with healthcare standards. Active nursing licensure is required, with clinical review certification preferred.

Qualifications

• Active nursing license (RN, LPN or equivalent).
• Clinical review certification is preferred.
• Experience with concurrent review processes is a plus.

Responsibilities

• Conduct concurrent review of clinical cases to assess appropriateness of care.
• Collaborate with healthcare providers to evaluate patient records and treatment plans.
• Ensure compliance with healthcare policies and regulations during reviews.
• Document findings and communicate recommendations clearly.
• Prioritize cases based on urgency and clinical significance.

Skills

Nursing Expertise

Clinical Review

Communication Skills

Regulatory Compliance

Education

RN License

LPN License

Clinical Review Certification

Job description

A-Line Staffing Solutions seeking a Clinical Review Nurse to conduct concurrent reviews of clinical cases and assess appropriateness of care. The role supports collaboration with healthcare providers and evaluation of patient records across varied settings.

The position offers remote or on-site flexibility with a 10:00 AM–6:30 PM CST schedule from Thursday to Monday, and compliance with healthcare standards. Active nursing licensure is required, with clinical review certification preferred.