Current jobs related to Utilization Review RN - Detroit - Tekwissen
-
Clinical Utilization Reviewer
2 weeks ago
Detroit, Michigan, United States Genex Services, LLC. Full timeGenex Service LLC is seeking a skilled Utilization Reviewer to join our team. As a Utilization Reviewer, you will be responsible for performing precertification reviews for New Jersey auto accident PIP medical treatment referrals. You will use your critical thinking and clinical judgment to ensure that treatment is medically necessary and authorized. This is...
-
Utilization Review Nurse
3 weeks ago
detroit, United States EPITEC Full timeJOB SUMMARY:Seeking an Integrated Care Auditor to investigate, audit and resolve concerns related to healthcare scheduling and billing compliance.Must be local to Detroit, MIRESPONSIBILITIES:Examines client’s records for accuracy, compliance, and validity.Assists leadership in conducting compliance risk assessments of our scheduling, billing and coding...
-
Utilization Review Nurse
3 weeks ago
Detroit, United States EPITEC Full timeJOB SUMMARY:Seeking an Integrated Care Auditor to investigate, audit and resolve concerns related to healthcare scheduling and billing compliance.Must be local to Detroit, MIRESPONSIBILITIES:Examines client’s records for accuracy, compliance, and validity.Assists leadership in conducting compliance risk assessments of our scheduling, billing and coding...
-
Drug Utilization Review Specialist
4 weeks ago
Detroit, Michigan, United States destinationone Consulting Full timeJob Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient...
-
Drug Utilization Review Specialist
2 weeks ago
Detroit, Michigan, United States destinationone Consulting Full timeJob Title: Drug Utilization Review SpecialistDestinationone Consulting is seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a critical role in evaluating medication use patterns to promote safe and effective medication therapy.Key Responsibilities:Conduct...
-
Travel Nurse RN
2 weeks ago
Detroit, Michigan, United States Medical Solutions Full timeTravel Nurse RN - Case Management Utilization ReviewWe are seeking a skilled Registered Nurse to join our team in a Case Management Utilization Review position at a facility in Detroit, MI. As a travel nurse, you will have the opportunity to work with a variety of patients and develop your clinical skills in a dynamic environment.Job DetailsLocation:...
-
Drug Utilization Review Specialist
4 weeks ago
Detroit, United States destinationone Consulting Full timedestinationone Consulting specializes in recruitment across diverse sectors including Healthcare Health Tech Government Municipalities NonProfits Legal Public Accounting Food and more. We are proactively building a data bank for opportunities in these fields. By applying you ensure our recruiters can quickly match you with suitable roles when they...
-
Drug Utilization Review Specialist
3 weeks ago
Detroit, United States destinationone Consulting Full timedestinationone Consulting specializes in recruitment across diverse sectors including Healthcare Health Tech Government Municipalities NonProfits Legal Public Accounting Food and more. We are proactively building a data bank for opportunities in these fields. By applying you ensure our recruiters can quickly match you with suitable roles when they...
-
RN Review Analyst
2 hours ago
Detroit, United States Strategic Staffing Solutions Full timeTitle: RN Review Analyst Location: Detroit, MI (Remote - must be local to Michigan) Duration: 11 -month contract with the possibility of extending or converting to full time. Role Type: W2 Contract Engagement Pay Rate: 40/HR without benefits Pay Rate: 38/HR with benefits. Pay rate with benefits and PTO: 36/HR (16 vacation days per calendar year) Role...
-
Travel Nurse RN
2 weeks ago
Detroit, Michigan, United States Medical Solutions Full timeTravel Nurse RN Opportunity in Detroit, MIWe are seeking a skilled Registered Nurse to join our team in Case Management (Utilization Review) at a facility in Detroit, MI. As a travel nurse, you will have the opportunity to work in a dynamic environment and provide high-quality patient care.Benefits and Perks$600 for 600 hours worked unlimited loyalty...
-
RN Review Analyst
4 days ago
Detroit, United States Strategic Staffing Solutions Full timeTitle: RN Review Analyst Want to make an application Make sure your CV is up to date, then read the following job specs carefully before applying.Location: Detroit, MI (Remote - must be local to Michigan) Duration: 8 month contract with the possibility of extending or converting to full time. Role Type: W2 Contract Engagement Pay Rate: 40/HR without...
-
Detroit, Michigan, United States Tenet Regional Resource Pool Full timeJob Summary:As a TRA Case Manager Utilization Review Specialist, you will play a critical role in facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources. This position requires strong negotiation skills to manage medical necessity processes...
-
Clinical Reviewer
4 weeks ago
Detroit, Michigan, United States Genex Services, LLC. Full timeJob Title: Utilization ReviewerGenex Service LLC is seeking a skilled Utilization Reviewer to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that medical treatment is necessary and appropriate for patients.Responsibilities:Perform utilization review of medical treatment requests to determine medical necessity.Collaborate...
-
RN Review Specialist
4 weeks ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeStrategic Staffing Solutions Contract OpportunityStrategic Staffing Solutions is currently seeking a skilled RN Review Analyst for a contract position with one of our prominent clients in Detroit, MI.Job Summary:We are looking for a detail-oriented and organized RN Review Analyst to join our team. The successful candidate will be responsible for reviewing...
-
Utilization Management Nurse
4 weeks ago
Detroit, Michigan, United States PSG Global Solutions Careers Full timeJob Title: Utilization Management RNAbout the Role:We are seeking a skilled Utilization Management RN to join our team at PSG Global Solutions Careers. As a Utilization Management RN, you will play a critical role in ensuring that our clients receive the most appropriate and cost-effective care.Key Responsibilities:Conduct prospective, concurrent, and...
-
Clinical Utilization Manager
1 month ago
Detroit, Michigan, United States McLaren Health Care Full timeJob SummaryWe are seeking a highly skilled and experienced Registered Nurse to join our Utilization Management team. As a Clinical Utilization Manager, you will play a critical role in ensuring that hospital admissions are based on medical necessity and that documentation is sufficient to support the level of care being billed.Key ResponsibilitiesConduct...
-
Case Manager Utilization Review Specialist
2 weeks ago
Detroit, Michigan, United States Tenet Regional Resource Pool Full timeJob SummaryWe are seeking a skilled Case Manager to join our team at Tenet Regional Resource Pool. As a Case Manager, you will play a critical role in facilitating care along a continuum, ensuring patients receive optimal health, access to care, and appropriate utilization of resources.Key ResponsibilitiesManage medical necessity process for accurate and...
-
Clinical Reviewer
2 weeks ago
Detroit, Michigan, United States Umanist Staffing LLC Full timeJob Title: Clinical ReviewerUmanist Staffing LLC is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will be responsible for reviewing inpatient, outpatient, and ambulatory services to ensure medical necessity, appropriate length of stay, intensity of service, and level of care.Key Responsibilities:Perform prospective,...
-
Nurse Reviewer Position
2 weeks ago
Detroit, Michigan, United States Umanist Staffing LLC Full timeJob Title: Registered Nurse ReviewerUmanist Staffing LLC is seeking a skilled Registered Nurse to join our team as a Reviewer. In this role, you will be responsible for reviewing precertification admission and concurrent reviews for the appropriateness of the inpatient setting using InterQual criteria.Key Responsibilities:Review and analyze patient data to...
-
Nurse Review Specialist
2 weeks ago
Detroit, Michigan, United States Umanist Staffing LLC Full timeJob Title: Registered Nurse Review AnalystUmanist Staffing LLC is seeking a highly skilled Registered Nurse to join our team as a Review Analyst. In this role, you will be responsible for conducting thorough reviews of inpatient, outpatient, and ambulatory services to ensure medical necessity, appropriate length of stay, and level of care.Key...
Utilization Review RN
2 months ago
Overview:
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. The below job opportunity is with one of our clients who is a global information technology company that provides high-performance and industry-focused solutions integrated with leading-edge security to clients in government, financial services and commercial markets. Their offerings include security software and, services, digital transformation and workplace services, industry applications and services, and innovative software operating environments for high-intensity enterprise computing.
Job Description
Title: Registered Nurse-Review Analys
Work Location: Detroit, MI, 48243
Duration: 10 Months
Job Type: Contract
Work Type: Remote
Dept: Commercial Inpatient Pr
Job Description:
- Role for clinical Registered Nurse requires review of clinical documentation provided by the facility, application of InterQual criteria, and ability to professionally interact (written, telephonic and verbal) with clinical staff internally and externally. Role does not involve review of claims.
- 2 years acute care experience with an unrestricted Registered Nurse license in Michigan.
- ICU/ER preferred *should not just be 2 years in a specialized field such as NICU/OB/BH/Substance Abuse *
- InterQual/MCG or other utilization review experience
- Advanced computer skills
- 40+ WPM typing
Qualifications
Additional Information
Payrate: $34/hr