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 reputed company, 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 reputed company 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.
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