Utilization review Nurse
Posted 2025-03-14This a Full Remote job, the offer is available from: Michigan (USA)
Job Description:
? This position will be 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 knowledge of 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.
This offer from "LanceSoft, Inc." has been enriched by Jobgether.com and got a 72% flex score.
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