- Note :- No Compact License .
- Training will be onsite in Detroit for 2 weeks then the position will be 100% remote
Registered Nurse Review Analyst
Must have 2-4 years of clinical experience which may include post-acute care, home care, acute patient care, discharge planning, case management, and utilization review, and caring for aging population in the home or post-acute care setting, etc.
Payrate: $40/hr.
Location: 500 Renaissance Center Detroit Michigan 48243
Shift: 5x8s,Duration: 52 weeks
Required:
- Michigan State License
- 2 year of clinical experience
- 1 year health insurance plan experience or managed care environment preferred.
RESPONSIBILITIES
- Use established medical policy and guidelines to perform prospective, concurrent, and retrospective medical necessity review of post-acute care services to ensure medical necessity for appropriate setting, appropriate length of stay, including appeal requests initiated by providers, facilities and members.
- Will coordinate care through the health care continuum including member outreach. Provides support and alternative care support for member not appropriate for post-acute care service as well formulate discharge readiness for members transitioning from a post-acute care setting to a lower level of care.
Job Type: Full-time
Pay: From $40.00 per hour
Schedule:
Application Question(s):
- Are you willing to travel for training in Detroit Michigan only for for 2 weeks
Experience:
- post-acute care, home care, acute patient care: 3 years (Required)
- discharge planning, case management: 2 years (Required)
License/Certification:
- Only Michigan State License (Preferred)
Work Location: Remote