Seeking a Michigan Licensed UR/LTSS Nurse, the contingent position offers remote work opportunities for experienced nurses to conduct Nursing Facility Level of Care reviews and Home Help quality assessments for Michigan Medicaid programs, requiring a minimum availability of 4-8 hours per week. Key responsibilities Perform utilization review activities in compliance with program requirements and clinical guidelines Conduct telephonic and virtual assessments for Nursing Facility Level of Care and Home Help quality reviews Document review findings and communicate effectively with providers and beneficiaries regarding determinations Required qualifications Active, unrestricted Michigan Registered Nurse (RN) license Experience in Long-Term Care/LTSS and Utilization Review (UR) or Utilization Management (UM) 3-5 years of combined experience in utilization review and long-term care Bachelor's degree in nursing preferred or equivalent experience considered Strong knowledge of Medicaid regulations and long-term care guidelines
Michigan Licensed UR/LTSS Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.