Registered Nurse – Review Analyst

Dec 12, 2024

W3R Consulting

Auditing, Long Term Care, Registered Nurse | RN, Utilization Management | Utilization Review
Remote
๏ ฏ

Employment Type:

Contract Employee
๏€—

Schedule:

Full-time, Temporary | Seasonal
๏„‰

Remote Status:

Remote
๏…

License:

MI

W3R Consulting

Auditing, Long Term Care, Registered Nurse | RN, Utilization Management | Utilization Review
Remote
๏ ฏ

Employment Type:

Contract Employee
๏€—

Schedule:

Full-time, Temporary | Seasonal
๏„‰

Remote Status:

Remote
๏…

License:

MI

๐ŸŒŸ Job Title: RN Review Analyst

๐Ÿ“ Location: Detroit, MI (Remote) โ€“ Candidates must reside in Michigan

โณ Contract Duration: 11 Months

๐Ÿ“… Shift: Monday – Friday (8 AM to 5 PM)

๐Ÿ’ฐ Pay Rate: $40/hr

โœจ Engagement Description:

Are you a passionate nursing professional ready to make a difference? Join us as an RN Review Analyst! In this dynamic role, youโ€™ll conduct prospective, concurrent, and retrospective reviews of inpatient services, ensuring medical necessity and appropriate care levels. Youโ€™ll be at the forefront of evaluating service intensity and managing appeal requests from providers and facilities.

๐Ÿ”‘ Top 3 Required Skills/Experience:

  • Education: Bachelorโ€™s degree in nursing preferred.
  • Experience: Bring 2-4 years of clinical expertise, including acute patient care, discharge planning, case management, and utilization review. Your clinical knowledge will be pivotal in shaping healthcare delivery.
  • Licensure: Must hold a current, unrestricted Michigan Registered Nurse license.

๐Ÿ’ป Required Skills/Experience:

  • Proficient in Microsoft Office and comfortable navigating technology.
  • Clinical experience in ICU, ER, or medical-surgical units is a strong plus!

๐ŸŒˆ Preferred Skills/Experience:

  • Have a knack for navigating the world of health insurance? A year of experience in a health insurance plan or managed care environment is preferred.

๐ŸŽ“ Education/Certifications:

  • Bachelorโ€™s degree in nursing preferred.
  • Current unrestricted Michigan Registered Nurse license required.
  • Experience in a health insurance plan or managed care environment is a bonus!

Ready to elevate your career and make an impact? We canโ€™t wait to meet you!