Registered Nurse-Review Analyst
Registered Nurse-Review Analyst
Posted on :
08-06-2024
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Posted on :
08-06-2024
Job Description
Overview:
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family dental and vision plans for employers etc.
Title: Registered NurseReview Analyst
Work Location: Detroit MI 48226
Duration: 5 Months
Job Type: Contract
Work Type: Remote
Job Description:
- Perform prospective concurrent and retrospective review of inpatient outpatient ambulatory and ancillary services to ensure medical necessity appropriate length of stay and intensity of service and level of care including appeal requests initiated by providers facilities and members.
- May establish care plans and coordinate care through the health care continuum including member outreach assessments.
- Bachelors degree in nursing allied health business or related field preferred.
- 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.
- Registered Nurse with current unrestricted Michigan Registered Nurse license required.
- Certification in Case Management may be preferred based upon designated department assignment.
TekWissen Group is an equal opportunity employer supporting workforce diversity.
Employment Type
Full Time
Key Skills
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