Current jobs related to Registered Nurse-Review Analys - Detroit - LanceSoft
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Registered Nurse-Review Analys
4 weeks ago
Detroit, United States ICONMA Full timeLocation: Detroit, MIDuration: 10-11 monthsDescription: Requested Criteria: Above average computer skills (Microsoft office). Clinical experience in ICU, ER, or medical surgical unit preferred. Prefer utilization management experience. Engagement Description: Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and...
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Registered Nurse Review ys
3 weeks ago
Detroit, United States Umanist Staffing LLC Full timeTitle: Registered NurseReview Analys Work Location: Detroit MI 48243 Duration: 10 Months Job Type: Contract Work Type: Remote Dept: MA Inpatient Precertifi Job Description: Perform prospective concurrent and retrospective review of inpatient outpatient ambulatory and ancillary services to ensure medical necessity appropriate length of stay...
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Registered Nurse Review ys
4 weeks ago
Detroit, United States Umanist Staffing LLC Full timeTitle: Registered NurseReview Analys Work Location: Detroit MI 48243 Duration: 10 Months Job Type: Contract Work Type: Remote Dept: MA Inpatient Precertifi Job Description: Perform prospective concurrent and retrospective review of inpatient outpatient ambulatory and ancillary services to ensure medical necessity appropriate length of stay...
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Clinical Reviewer
4 weeks ago
Detroit, Michigan, United States ICONMA Full timeJob Title: Registered Nurse-Review AnalysLocation: Detroit, MIDuration: 10-11 monthsDescription:We are seeking a highly skilled Registered Nurse to join our team as a Clinical Reviewer. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure...
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Clinical Review Specialist
4 weeks ago
Detroit, Michigan, United States ICONMA Full timeJob Title: Registered Nurse-Review AnalysLocation: Detroit, MIDuration: 10-11 monthsDescription:Job Summary:We are seeking a highly skilled Registered Nurse to join our team as a Clinical Review Specialist. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and...
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Registered Nurse-Review Analys
4 months 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...
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Registered Nurse
3 months ago
Detroit, United States w3r Consulting Full timeResponsible for the review of precertification admission and concurrent reviews for the appropriateness of the inpatient setting utilizing InterQual criteria. Required to enter or reference data via PC, collaborate with facilities, providers and Medical Directors. Must have excellent written and oral communication skills. Other related skills may be required...
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Registered Nurse-Review Analyst
4 weeks ago
Detroit, United States LanceSoft Full timeJob Description 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...
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Registered Nurse-Review Analyst
46 minutes ago
Detroit, United States LanceSoft Full timeJob Description 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...
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Nurse Review Specialist
2 weeks ago
Detroit, Michigan, United States w3r Consulting Full timeJob Title: Registered Nurse Review AnalystDuration: 10 monthsLocation: RemotePay: $40.00/hr on W2As a Registered Nurse Review Analyst, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of...
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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...
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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...
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Registered Nurse
4 months ago
Detroit, United States PSG Global Solutions Careers Full timeApply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a RN - Review Analyst, working in Insurance industry in Detroit, Michigan, United States. Use established medical policy and guidelines to perform prospective, concurrent, and retrospective medical necessity review of...
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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,...
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Clinical Review Nurse
3 weeks ago
Detroit, Michigan, United States LanceSoft Full timeJob SummaryWe are seeking a highly skilled Clinical Review Nurse to join our team at LanceSoft. As a key member of our healthcare team, you will be responsible for performing prospective, concurrent, and retrospective medical necessity reviews of post-acute care services to ensure medical necessity for appropriate setting and length of stay.Key...
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Clinical Review Nurse
4 weeks ago
Detroit, Michigan, United States LanceSoft Full timeJob SummaryWe are seeking a highly skilled Clinical Review Nurse to join our team at LanceSoft. As a key member of our healthcare team, you will be responsible for conducting thorough medical necessity reviews of post-acute care services to ensure that patients receive the most appropriate care.Key ResponsibilitiesConduct prospective, concurrent, and...
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Clinical Review Nurse
7 days ago
Detroit, Michigan, United States LanceSoft Full timeJob Summary:We are seeking a skilled Clinical Review Nurse to join our team at LanceSoft. As a Clinical Review Nurse, you will play a critical role in ensuring the medical necessity of post-acute care services.Key Responsibilities:Conduct prospective, concurrent, and retrospective medical necessity reviews of post-acute care services to ensure medical...
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Clinical Review Specialist
2 weeks ago
Detroit, Michigan, United States W3R Consulting Full timeJob Title - Registered Nurse - Clinical ReviewDuration - 10 monthsLocation - RemotePay: $40.00/hr on W2We are seeking a highly skilled Registered Nurse to join our team as a Clinical Review Specialist. In this role, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary...
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Healthcare Review Specialist
7 days ago
Detroit, Michigan, United States W3R Consulting Full timeJob Title – Registered Nurse – Review AnalystDuration – 10 monthsLocation – RemotePay: $40.00/hr on W2We are seeking a skilled Registered Nurse to join our team at W3R Consulting. As a Review Analyst, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services...
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Clinical Review Specialist
4 weeks ago
Detroit, Michigan, United States LanceSoft Full timeJob Title: Registered Nurse-Review AnalystJob Summary:We are seeking a highly skilled Registered Nurse to join our team as a Review Analyst. In this role, you will be responsible for conducting medical necessity reviews of post-acute care services to ensure compliance with established medical policy and guidelines.Key Responsibilities:Conduct prospective,...
Registered Nurse-Review Analys
4 months 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.
- 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.
