Concurrent Review Nurse 2

IMCS Group is an IT, Healthcare, and Professional Staffing Company that helps Enterprises optimize the business value of their Staffing investments and enables them to achieve world-class business performance. IMCS Group supports strategic and operational aspects of IT implementations to help businesses implement growth strategies and leverage technology to achieve competitive advantage. In addition, IMCS provides hospitals and medical facilities with high-quality clinical professionals with the highest standards and compliance to provide the best medical care. At IMCS Group, quality and efficiency are of paramount importance. Our consistent growth, many successful customer engagements, and high customer retention are the hallmarks of our success. In addition, our passion for taking complex business processes and simplifying them by applying the right technology has been the key to our success. At all times, IMCS ensures the highest standards of quality in providing resources, time, and material to design, implement, and support to keep organizations operating efficiently.

Target Start Date: August 11, 2025 Assignment Duration: 6 months Possibility to Extend or Convert: Yes Work Location: Remote – Texas only Schedule: Shift: 10:00 AM – 7:00 PM CST Schedule options: Sunday–Thursday or Tuesday–Saturday OT: Not required, but must be flexible Role Overview: The Clinical Review Nurse performs concurrent reviews to determine medical necessity and level of care for members admitted to acute care facilities. This role focuses on protecting members from unnecessary hospitalization and facilitating timely discharge planning through collaboration with care teams and the use of multiple systems.

Conduct 20 concurrent reviews daily to assess medical necessity and level of care Review resource utilization, acuity level, discharge plans, and quality of care Document all findings, decisions, and care actions in electronic systems Communicate with physicians, case managers, and interdisciplinary teams to obtain updates and support decisions Provide education to providers on utilization management (UM) policies and procedures Recommend improvements to optimize medical necessity reviews and care coordination Support transitions of care by reviewing discharge plans and coordinating with Care Management