๐ Job Title: RN Review Analyst
๐ Location: Detroit, MI (Remote) โ Candidates must reside in Michigan
โณ Contract Duration: 11 Months
๐ Shift: Monday – Friday (8 AM to 5 PM)
๐ฐ Pay Rate: $40/hr
โจ Engagement Description:
Are you a passionate nursing professional ready to make a difference? Join us as an RN Review Analyst! In this dynamic role, youโll conduct prospective, concurrent, and retrospective reviews of inpatient services, ensuring medical necessity and appropriate care levels. Youโll be at the forefront of evaluating service intensity and managing appeal requests from providers and facilities.
๐ Top 3 Required Skills/Experience:
- Education: Bachelorโs 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.
๐ป Required Skills/Experience:
- Proficient in Microsoft Office and comfortable navigating technology.
- Clinical experience in ICU, ER, or medical-surgical units is a strong plus!
๐ 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.
๐ Education/Certifications:
- Bachelorโs 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 canโt wait to meet you!