Remote Registered Nurse Review Analyst – Michigan

Job Overview

  • Clinical License RN
  • State(s) MI

Full job description

  • Note :- No Compact License .
  • Training will be onsite in Detroit for 2 weeks then the position will be 100% remote

Registered Nurse Review Analyst

Must have 2-4 years of clinical experience which may include post-acute care, home care, acute patient care, discharge planning, case management, and utilization review, and caring for aging population in the home or post-acute care setting, etc.

Payrate: $40/hr.
Location: 500 Renaissance Center Detroit Michigan 48243
Shift: 5x8s,Duration: 52 weeks

Required:

  • Michigan State License
  • 2 year of clinical experience
  • 1 year health insurance plan experience or managed care environment preferred.

RESPONSIBILITIES

  • Use established medical policy and guidelines to perform prospective, concurrent, and retrospective medical necessity review of post-acute care services to ensure medical necessity for appropriate setting, appropriate length of stay, including appeal requests initiated by providers, facilities and members.
  • Will coordinate care through the health care continuum including member outreach. Provides support and alternative care support for member not appropriate for post-acute care service as well formulate discharge readiness for members transitioning from a post-acute care setting to a lower level of care.

Job Type: Full-time

Pay: From $40.00 per hour

Schedule:

  • 5×8
  • 8 hour shift

Application Question(s):

  • Are you willing to travel for training in Detroit Michigan only for for 2 weeks

Experience:

  • post-acute care, home care, acute patient care: 3 years (Required)
  • discharge planning, case management: 2 years (Required)

License/Certification:

  • Only Michigan State License (Preferred)

Work Location: Remote

 

 

 

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