Registered Nurse Review Analyst
$36 per hourStrategic Staffing Solutions
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
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.CERTIFICATES, LICENSES, REGISTRATIONS
Current unrestricted state of Michigan registered nurse license required. #J-18808-Ljbffr Strategic Staffing SolutionsVacancy posted 4 days ago
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