Registered Nurse-Review Analyst

Remote Nurse Position in Michigan

This position will be a 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.

Requirements:

• 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.