Registered Nurse Review Analyst
$36 per hourStrategic Staffing Solutions
Job Description Title: Medicare Advantage RN Review Analyst
Location: Detroit, MI (Remote - Must be local to Michigan)
Duration: 12+ Months
Role Type: W2 Contract role
Max Pay Rate: $36/HR
Schedule: Monday - Friday 9-5
SUMMARY
Responsible for the approval or rejection of claims and/or benefit interpretation. May be required to enter or reference data via PC and/or Clinical Review Team terminal. REQUIREMENTS
Location: Detroit, MI (Remote - Must be local to Michigan)
Duration: 12+ Months
Role Type: W2 Contract role
Max Pay Rate: $36/HR
Schedule: Monday - Friday 9-5
SUMMARY
Responsible for the approval or rejection of claims and/or benefit interpretation. May be required to enter or reference data via PC and/or Clinical Review Team terminal. REQUIREMENTS
- Registered Nurse with current Michigan Registered Nurse License.
- Associate degree or nursing diploma required, bachelor's degree preferred.
- Two (2) years RN patient care experience.
- Triage, case management and/or rehabilitation experience preferred.
- Medicare Advantage Part B experience a plus.
- Expertise in the use of medical terminology.
- Finely honed critical thinking skills are a must.
- Knowledge of CPT/HCPCS coding and Medicare regulations desirable.
- Current unrestricted state of Michigan registered nurse license required.
Vacancy posted 3 days ago
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