Job Description:
- This position will be remote role for Nurses in Michigan
- Should have a valid MI RN License
- Should Have utilization management experience.
- Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously.
- The candidate should be well versed in coordination of care activities along with discharge planning which is a plus for this role in ensuring members are transitioned safely following care.
- In addition, the candidate should have experience with post-acute InterQual criteria that is utilized in this role.
- Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes.
- One year health insurance plan experience or managed care environment preferred. Registered Nurse with current unrestricted Michigan Registered Nurse license required.
- Certification in Case Management may be preferred based upon designated department assignment.
- Above average computer skills
- Clinical experience in ICU, ER, or medical surgical unit preferred.
Registered Nurse-Review Analyst in detroit at Unknown Company
- Typical pay
- $71,760–$112,100
For context, most registered nurses earn between $71,760–$112,100 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.