Registered Nurse-Review Analys
3 weeks ago
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.
Requested criteria:
Above average computer skills (Microsoft office).
Clinical experience in ICU, ER, or medical surgical unit preferred.
Prefer utilization management experience.
Resource will be able to perform this role offsite. May be required to come into the office for meetings and training.
-
Registered Nurse-Review Analys
1 week ago
Detroit, United States LanceSoft Full timeJob 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...
-
Registered Nurse-Review Analyst
2 weeks ago
Detroit, United States Strategic Staffing Solutions Full timeSTRATEGIC 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: Registered Nurse Review Analyst Location: Detroit, MI (Remote - must be local to Michigan) Duration: 12+ Months Role Type: W2...
-
Registered Nurse-Review Analyst
4 days ago
Detroit, MI, United States Strategic Staffing Solutions Full timeSTRATEGIC 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: Registered Nurse Review Analyst Location: Detroit, MI (Remote - must be local to Michigan) Duration: 12+ Months Role Type: W2 contract...
-
Registered Nurse Review Analyst
4 days ago
Detroit, MI, United States Strategic Staffing Solutions Full timeSTRATEGIC 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: Registered Nurse Review Analyst Location: Detroit, MI (Remote in Michigan) Duration: 12+ Months Role Type: W2 contract engagement Role...
-
Registered Nurse
19 hours ago
Detroit, United States V R Della IT Services Private Limited Full timeJob Overview:We are seeking a skilled and compassionate Registered Nurse to join our healthcare team. As a Registered Nurse, you will play a crucial role in providing high-quality patient care and ensuring the well-being of our patients. This is a full-time position in a hospital setting.Duties:- Perform physical examinations and health assessments-...
-
Registered Nurse
2 days ago
Detroit, United States The Guidance Center Full timeAs a recognized leader in our field, The Guidance Center provides a broad range of services that have helped children, adults and families unlock potential and build better lives since 1958. With 25 programs we offer treatment, prevention, growth and education services to more than 15,000 people annually. Together we: Nurture development. Foster resilience....
-
Registered Nurse
3 weeks ago
Detroit, Michigan, United States Regency at Chene Full timeAre you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Regency at Chene, you have the opportunity to use your nursing skills and become a leader.At Ciena Healthcare, we take care of you too, with an attractive benefit package including:Competitive payLife...
-
Registered Nurse
1 week ago
Detroit, Michigan, United States Sheffield Manor Nursing and Rehab Full timeAre you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Royalton Manor, you have the opportunity to use your nursing skills and become a leader.At Ciena Healthcare, we take care of you too, with an attractive benefit package including:Competitive payLife...
-
Registered Nurse RN
7 days ago
Detroit, United States Cutiscare LLC Full timeDescription:CutisCare provides management services to wound care and hyperbaric medicine service lines in hospitals nationwide. As a Registered Nurse you will be joining a team of compassionate wound care specialists in positively impacting the patients’ quality of life throughout their healing journey.As a Registered Nurse you will be responsible for:The...
-
Registered Nurse RN
1 week ago
Detroit, United States Cutiscare LLC Full timeDescription:CutisCare provides management services to wound care and hyperbaric medicine service lines in hospitals nationwide. As a Registered Nurse you will be joining a team of compassionate wound care specialists in positively impacting the patients’ quality of life throughout their healing journey.As a Registered Nurse you will be responsible for:The...
-
Registered Nurse RN
1 week ago
Detroit, United States Cutiscare LLC Full timeDescription:CutisCare provides management services to wound care and hyperbaric medicine service lines in hospitals nationwide. As a Registered Nurse you will be joining a team of compassionate wound care specialists in positively impacting the patients’ quality of life throughout their healing journey.As a Registered Nurse you will be responsible for:The...
-
Registered Nurse
1 week ago
Detroit, United States Vibrus Group LLC Full timeVibrus Group seeks professional registered nurses who are passionate about providing the highest quality of care for patients in a family planning clinic setting . You must have excellent interpersonal communication skills, strong problem solving skills, and the ability to prioritize and multitask under pressure. Positions are available throughout Michigan...
-
Registered Nurse RN
2 weeks ago
Detroit, United States Cutiscare LLC Full timeJob DescriptionJob DescriptionDescription:CutisCare provides management services to wound care and hyperbaric medicine service lines in hospitals nationwide. As a Registered Nurse you will be joining a team of compassionate wound care specialists in positively impacting the patients’ quality of life throughout their healing journey. As a Registered Nurse...
-
Registered Nurse
2 weeks ago
Detroit, United States Qualicare Nursing Home Full timeDay Shift Only 7:00am-3:30pmAre you a critical thinker, a skilled communicator, and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Qualicare Nursing Home, you have the opportunity to use your nursing skills and become a leader.At Ciena Healthcare, we take care of you too, with an attractive benefits...
-
Registered Nurse
2 weeks ago
Detroit, United States Regency at Chene Full timeAre you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Regency at Chene, you have the opportunity to use your nursing skills and become a leader.At Ciena Healthcare, we take care of you too, with an attractive benefit package including:Competitive payLife...
-
Registered Nurse
2 weeks ago
Detroit, United States Sheffield Manor Nursing and Rehab Full timeAre you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Royalton Manor, you have the opportunity to use your nursing skills and become a leader.At Ciena Healthcare, we take care of you too, with an attractive benefit package including:Competitive payLife...
-
Registered Nurse
3 weeks ago
Detroit, United States Qualicare Nursing Home Full timeDay Shift Only 7:00am-3:30pm Are you a critical thinker, a skilled communicator, and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Qualicare Nursing Home, you have the opportunity to use your nursing skills and become a leader. At Ciena Healthcare, we take care of you too, with an attractive benefits...
-
Registered Nurse
3 weeks ago
Detroit, United States Sheffield Manor Nursing and Rehab Full timeAre you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Royalton Manor, you have the opportunity to use your nursing skills and become a leader. At Ciena Healthcare, we take care of you too, with an attractive benefit package including: Competitive pay Life...
-
Registered Nurse
3 weeks ago
Detroit, United States Regency at Chene Full timeAre you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Regency at Chene, you have the opportunity to use your nursing skills and become a leader. At Ciena Healthcare, we take care of you too, with an attractive benefit package including: Competitive...
-
Registered Nurse
1 week ago
Detroit, United States McLaren USA Full timeDepartment: Utilization ManagementDaily Work Times: 7:00am-3:30pmShift: DaysScheduled Bi-Weekly Hours: 40 Position Summary: Responsible for determining the appropriate patient status based on the regulatory and reimbursement requirements of various commercial and government payers in collaboration with the admitting/attending physician. Partners with the...