Remote Clinical Review Nurse

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Clinical Review Nurse – Concurrent Review (Remote)

Must Be Located in Texas

Schedule

• Training: Monday–Friday, 8 a.m.–5 p.m.
• Post‑Training: Tuesday–Saturday, 8 a.m.–5 p.m., or Sunday–Thursday, 8 a.m.–5 p.m.

About The Role

We are seeking two Clinical Review Nurses (Concurrent Review) . In this role, you will analyze inpatient admission requests to determine medical necessity and appropriate levels of care in alignment with national standards, contractual requirements, and member benefit coverage. You will provide recommendations to the medical team to support quality, compliance, and cost‑effective care.

Key Responsibilities

• Review and process inpatient admission requests.
• Ensure compliance with turnaround times and regulatory requirements.
• Apply clinical judgment and national guidelines (e.g., InterQual) to determine medical necessity.
• Maintain accuracy and efficiency while navigating multiple systems and applications.
• Monitor and meet performance expectations and productivity metrics.
• Collaborate with internal teams to support quality and compliance initiatives.
• Maintain adherence to state board and regulatory standards.

Required Qualifications

• Graduate of an accredited School of Nursing or Bachelor’s degree in Nursing.
• Active RN license (required).
• 5\+ years of recent hospital experience (ICU or ER/ED)
• Strong computer proficiency and ability to navigate multiple systems.
• Ability to work accurately and efficiently in a fast‑paced environment.
• Strong teamwork, adaptability, and communication skills.

Disqualifiers

• Lack of recent hospital ER/ED or ICU experience
• No active RN license.

Job Type \& Location

This is a Contract position based out of Dallas, TX.

Pay and Benefits

The pay range for this position is $33\.00 - $38\.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental \& vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life \& AD\&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Mar 27, 2026\.

Diversity, Equity \& Inclusion

At Actalent, Diversity And Inclusion Are a Bridge Towards The Equity And Success Of Our People. DE\&I Is Embedded Into Our Culture Through

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

Actalent is an equal opportunity employer.

About Actalent

Actalent is a global leader in engineering and sciences services. For more than 40 years, we’ve helped visionary companies advance their goals. Headquartered in the United States, our teams span 150 offices across North America, EMEA, and APAC—with four delivery centers in India led by 1,000\+ extraordinary employees who connect their passion with purpose every day.

Our Bangalore, Hyderabad, Pune, and Chennai delivery centers are hubs of engineering expertise, with core capabilities in mechanical and electrical engineering, systems and software, and manufacturing engineering. Our teams deliver work across multiple industries including transportation, consumer and industrial products, and life sciences. We serve more than 4,500 clients, including many Fortune 500 brands. Learn more about how we can work together at actalentservices.com.

If you have questions about this posting, please contact [email protected]