Registered Nurse-Review Analyst

Registered Nurse-Review Analyst Location: Detroit, MI, 48226 Duration: 10 Months Job Type: Contract Work Type: Hybrid (one day a week) Dept: Medicare Medical Policy Pay: $30-$34 per Hour on W2 At Srimatrix Health, we're dedicated to connecting talents with opportunities that transform lives. Registered nurse with current unrestricted Michigan Registered Nurse license required. Job Responsibilities Develop and maintain Medicare Medical Policies ensuring policies are approved, implemented, and placed in repository, including annual reviews/updates Collaboration with Medical Director on medical policy development and maintenance Assist with the review of commercial medical policy meeting minutes to update Medicare Policies where needed Supporting the preparation of policies and documents for Criteria Review Commitee and Utilization Management Committee Meetings Research CPT or HCPCS codes as needed Researching medical technologies as needed for specific cases requesting authorizations on technologies Familiar with Microsoft Office products Respond to inquiries from other teams. Top 3 Required Skills/Experience Experience in Medicare and managed care health insurance medical policy. Strong written communication skills: ability to write clear and concise documents Experience with collaborative projects Required Skills Research, gather, plan, organize and evaluate information from multiple sources Knowledge of CPT and HCPCS codes Critical thinking and problem-solving skills Clinical experience Familiar with Microsoft Office products Preferred Skills Experience with medical Billing/Coding Knowledge of CMS Medicare coverage guidance Experience in maintaining a repository of documents. Registered nurse with two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc. Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes. One (1) year health insurance plan experience or managed care environment preferred. #J-18808-Ljbffr SriMatrix health