Registered Nurse-Review Analys
4 weeks ago
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.
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.
Requirements:
- 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
TekWissen® Group is an equal opportunity employer supporting workforce diversity.
-
Registered Nurse-Review Analys
4 weeks ago
Detroit, United States AdvantEdge Full timeTitle: Registered Nurse-Review AnalysWork Location: Detroit, MI, 48243Duration: 10 Months Job Type: Contract Work Type: RemotePay Rate: $34-$34/hr on W2Job 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,...
-
Nurse-Review Analys
3 weeks ago
Detroit, United States VeeRteq Solutions Inc. Full timeJob DescriptionJob DescriptionTitle: Registered Nurse-Review AnalysWork Location: Detroit, MI, 48243Duration: 10 Months Job Type: Contract Work Type: RemoteDept: Commercial Inpatient PrJob Description:Role for clinical Registered Nurse requires review of clinical documentation provided by the facility, application of InterQual criteria, and ability to...
-
Registered Nurse-Review Analys
4 weeks ago
Detroit, United States TekWissen LLC Full timeJob DescriptionJob DescriptionOverview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Title: Registered Nurse-Review...
-
Registered Nurse-Review Analys
1 week ago
Detroit, United States TekWissen LLC Full timeJob DescriptionJob DescriptionOverview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Title: Registered Nurse-Review...
-
Utilization Review RN
3 weeks ago
Detroit, United States Tekwissen Full timeCompany Description 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...
-
Utilization Review RN
4 weeks ago
Detroit, United States TekWissen ® Full timeCompany DescriptionOverview: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...
-
Registered Nurse-Review Analys
3 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...
-
Registered Nurse
1 month 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...
-
Registered Nurse for Utilization Review
2 weeks ago
Detroit, Michigan, United States AdvantEdge Full timePosition: Registered Nurse for Utilization ReviewCompany: AdvantEdgeContract Duration: 9 MonthsWork Arrangement: RemoteCompensation: $34/hr on W2 Role Overview: As a Registered Nurse specializing in Utilization Review, you will play a crucial role in ensuring the appropriate use of healthcare resources. Your expertise will help in assessing the necessity and...
-
Registered Nurse-Review Analyst
1 month 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: RN Review Analyst Location: Detroit, MI (Remote however must be local to Michigan) Duration: 12+ Months Role Type: W2 Contract...
-
Registered Nurse Clinical Reviewer
6 days ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeStrategic Staffing Solutions (S3) is a leading provider of staffing solutions.We are currently seeking a highly skilled Registered Nurse Clinical Reviewer to join our team.About the Role:As a Registered Nurse Clinical Reviewer, you will be responsible for:Conducting thorough reviews of patient records to ensure accurate and high-quality care.Collaborating...
-
Registered Nurse Review Analyst
1 month ago
Detroit, United States Strategic Staffing Solutions Full timeTitle: RN Review Analyst Location: Detroit, MI (Remote however must be local to Michigan) Duration: 12+ Months Role Type: W2 Contract Engagement Pay Rate: $39-42/HR Engagement Description Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate...
-
Registered Nurse-Review Analyst
1 month 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: RN Review Analyst Location: Detroit, MI (Remote however must be local to Michigan) Duration: 12+ Months Role Type: W2 Contract Engagement ...
-
Registered Nurse Review Analyst
4 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: RN Review Analyst Location: Detroit, MI (Remote however must be local to Michigan) Duration: 12+ Months Role Type: W2 Contract Engagement ...
-
Registered Nurse Review Analyst
4 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: RN Review Analyst Location: Detroit, MI (Remote however must be local to Michigan) Duration: 12+ Months Role Type: W2 Contract Engagement ...
-
Registered Nurse
3 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...
-
Clinical Review Nurse
3 days ago
Detroit, Michigan, United States OpTech Full timeAbout the RoleOpTech is seeking a highly skilled Clinical Review Registered Nurse to join our team. As a Clinical Review Registered Nurse, you will play a critical role in ensuring that our clients' UM Program is provider-focused and meets the highest standards of quality and care.Key ResponsibilitiesReview clinical documentation provided by facilities to...
-
Clinical Nurse Reviewer
2 weeks ago
Detroit, Michigan, United States TekWissen LLC Full timeJob OverviewCompany: TekWissen LLCPosition: Registered Nurse - Review AnalystWork Type: RemoteContract Duration: 9 MonthsDepartment: Commercial Inpatient ServicesPosition SummaryTekWissen LLC is a prominent workforce management provider operating across the USA and internationally. Our client, a leading health insurance organization, offers a variety of...
-
Clinical Review Nurse
2 weeks ago
Detroit, Michigan, United States Tekwissen Full timeOverview: TekWissen Group is a prominent workforce management provider operating across the USA and various international markets. Our client, a leading health insurance organization, provides a diverse range of healthcare coverage options, including individual and family plans, dental and vision insurance, as well as employer-sponsored plans. Position:...
-
Clinical Review Nurse
2 weeks ago
Detroit, Michigan, United States TekWissen LLC Full timeJob DescriptionOverview: TekWissen Group is a leading provider of workforce management solutions across the United States and internationally. Our client operates within the health insurance sector, offering a variety of healthcare coverage options, including individual and family plans, dental and vision insurance, as well as employer-sponsored...