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Registered Nurse Review Analys

In Michigan / United States

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Registered Nurse Review Analys   

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JOB TITLE:

Registered Nurse Review Analys

JOB TYPE:

JOB SKILLS:

JOB LOCATION:

Detroit Michigan / United States

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 Nurse-Review Analys
Work Location: Detroit, MI 48243
Duration: 12 Months
Job Type: Contract
Work Type: Onsite
Job Description
Dept: Commercial Inpatient Pr
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.
    Bachelor's 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.

Position Details

POSTED:

May 04, 2023

EMPLOYMENT:

INDUSTRY:

SNAPRECRUIT ID:

S16705118480177245

LOCATION:

Michigan / United States

CITY:

Detroit

Job Origin:

CEIPAL_ORGANIC_FEED

A job sourcing event
In Dallas Fort Worth
Aug 19, 2017 9am-6pm
All job seekers welcome!

Registered Nurse Review Analys    Apply

Click on the below icons to share this job to Linkedin, Twitter!

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 Nurse-Review Analys
Work Location: Detroit, MI 48243
Duration: 12 Months
Job Type: Contract
Work Type: Onsite
Job Description
Dept: Commercial Inpatient Pr
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. Bachelor's 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.


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