Registered Nurse

2 weeks ago


Detroit, Michigan, United States Detroit Medical Center Full time
Job Title: Registered Nurse - Utilization Review

At the Detroit Medical Center, we are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Nurse. This is a full-time position that requires a strong background in nursing and a passion for delivering high-quality patient care.

Job Summary:

The Utilization Review Nurse will be responsible for reviewing patient cases to ensure that the level of care provided is medically necessary and meets the standards of the Detroit Medical Center. This role requires strong analytical and communication skills, as well as the ability to work effectively with patients, families, and healthcare teams.

Key Responsibilities:
  • Conduct thorough reviews of patient cases to determine medical necessity and appropriateness of care
  • Collaborate with healthcare teams to develop and implement effective care plans
  • Communicate with patients and families to ensure that they understand their care and treatment options
  • Work with payors to secure authorization for services and resolve any issues related to payment or coverage
  • Participate in quality improvement initiatives to ensure that patient care meets the highest standards
Requirements:
  • Active RN license in the state of Michigan
  • At least 2 years of experience in a hospital or healthcare setting
  • Strong analytical and communication skills
  • Ability to work effectively in a fast-paced environment
  • Knowledge of healthcare regulations and policies
What We Offer:

The Detroit Medical Center offers a competitive salary and benefits package, as well as opportunities for professional growth and development. We are committed to providing a work environment that is supportive, inclusive, and respectful of all employees.


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