STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest clients located in Detroit, MI!
Title : RN Review Analyst
Location : Detroit, MI (Remote however must be local to Michigan)
Duration : 12+ Months
Role Type : W2 Contract Engagement
Engagement Description
Perform prospective, concurrent, and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, 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.
Top 3 Required Skills / Experience
- Above average computer skills (Microsoft office).
- Clinical experience in ICU, ER, or medical surgical unit preferred.
- Prefer utilization management experience.
Required Skills / Experience
- Registered Nurse with current unrestricted Michigan Registered Nurse license required.
- 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
Preferred Skills / Experience
- Bachelor’s degree in nursing, allied health, business, or related field preferred.
- One (1) year health insurance plan experience or managed care environment preferred.
Education / Certifications
Current unrestricted Michigan Registered Nurse license required.
The S3 Difference
The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities.
The four pillars of our company are to :
- Set the bar high for what a company should do
- Create jobs
- Offer people an opportunity to succeed and change their station in life
- Improve the communities where we live and work through volunteering and charitable giving
Beware of scams. S3 never asks for money during its onboarding process.
Job ID : JOB-237252
Publish Date : 16 Aug 2024
Tagged as : RN Review Analyst
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