Registered Nurse-Review Analysis

3 weeks ago

Detroit MI, United States Strategic Staffing Solutions Full time

STRATEGIC STAFFING SOLUTIONS HAS AN OPENING Strategic Staffing Solutions (S3) is currently looking for a Registered Nurse-Review Analysis for a contract opening with one of our largest clients located in Detroit, MI. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Title: Registered Nurse-Review Analysis Location: Detroit, MI (Remote in Michigan) Duration: 9+ 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

  • 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.
  • Registered Nurse with current unrestricted Michigan Registered Nurse license required.
Required Skills/Experience
  • Above average computer skills (Microsoft office).
  • Clinical experience in ICU, ER, or medical surgical unit preferred.
  • Resource will be able to perform this role offsite. May be required to come into the office for meetings and training.
Preferred Skills/Experience
  • One (1) year health insurance plan experience or managed care environment preferred.
  • Certification in Case Management may be preferred based upon designated department assignment.
Education/Certifications
  • Bachelor’s degree in nursing, allied health, business, or related field preferred.
  • Registered Nurse with current unrestricted Michigan Registered Nurse license required.
  • One (1) year health insurance plan experience or managed care environment preferred.
  • Certification in Case Management may be preferred based upon designated department assignment.
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
As an S3 employee, you’re eligible for a full benefits package that may include:
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Plan
  • Vacation Package
  • Life & Disability Insurance Plans
  • Flexible Spending Accounts
  • Tuition Reimbursement
As an S3 employee, you’re eligible for a full benefits package that may include:
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Plan
  • Vacation Package
  • Life & Disability Insurance Plans
  • Flexible Spending Accounts
  • Tuition Reimbursement
To apply: Please email your resume in Word Format to Bob Cromer at: bcromer@strategicstaff.com and Reference Job Order # 230727.

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