RN Review Analyst

1 week ago


Detroit, Michigan, United States Strategic Staffing Solutions Full time

Job Opportunity: RN Review Analyst

About the Role:

We are seeking a highly skilled Registered Nurse to join our team as a Review Analyst. In this role, 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 service, and level of care.

Key Responsibilities:

  • Perform reviews of medical records to ensure compliance with regulatory requirements and company policies
  • Develop and implement care plans to coordinate care through the healthcare continuum
  • Collaborate with healthcare providers and facilities to ensure quality patient care
  • Conduct retrospective reviews to identify areas for improvement and implement changes

Requirements:

  • Current unrestricted Michigan Registered Nurse license
  • Two to four years of clinical experience in ICU, ER, or medical surgical unit
  • Demonstrated clinical knowledge and experience relative to patient care and healthcare delivery

Preferred Qualifications:

  • Bachelor's degree in nursing, allied health, business, or related field
  • One year of health insurance plan experience or managed care environment

About Strategic Staffing Solutions:

We are a leading staffing solutions company dedicated to building trusting relationships and delivering solutions that positively impact our customers, consultants, and communities. Our mission is to set the bar high for what a company should do, create jobs, offer people an opportunity to succeed, and improve the communities where we live and work.



  • Detroit, Michigan, United States W3R Consulting Full time

    Job Title – Healthcare Review AnalystDuration – 10 monthsLocation – RemotePay: $40.00/hr on W2Job Summary:We are seeking a skilled Healthcare Review Analyst to join our team at W3R Consulting. As a key member of our healthcare team, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient,...

  • Nursing Professional

    2 weeks ago


    Detroit, Michigan, United States TekWissen LLC Full time

    Job OverviewCompany: TekWissen LLC 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, as well as dental and vision care.Position: Registered Nurse - Review...


  • Detroit, Michigan, United States Strategic Staffing Solutions Full time

    Strategic Staffing Solutions (S3) is seeking a qualified candidate for the role of RN Review Analyst.Position: RN Review AnalystLocation: Remote (Candidates must reside in Michigan)Contract Duration: 12+ MonthsEngagement Type: W2 Contract PositionRole Overview:The Utilization Management Program is designed to focus on providers, necessitating professional...


  • Detroit, Michigan, United States TekWissen LLC Full time

    Job 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...


  • Detroit, Michigan, United States Strategic Staffing Solutions Full time

    Strategic 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...


  • Detroit, Michigan, United States Strategic Staffing Solutions Full time

    Strategic Staffing Solutions (S3) is excited to announce a new opportunityPosition: RN Clinical Review ConsultantLocation: Remote (Candidates must reside in Michigan)Contract Duration: 12+ MonthsRole Type: W2 Contract EngagementEngagement OverviewOur Utilization Management Program is centered around provider interactions, necessitating professional...

  • Program Analyst

    2 months ago


    Detroit, Michigan, United States Detroit Wayne Integrated Health Network Full time

    PROGRAM ANALYST - CCBHCUnder the general supervision of the Health Home Director, the Program Analyst -- CCBHC provides administrative oversight of the Certified Community Behavioral Health Clinic (CCBHC) State Demonstration and creates, directs, and implements its policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES:Serves as a liaison between...

  • Cybersecurity Analyst

    3 weeks ago


    Detroit, Michigan, United States Cornerstone onDemand Full time

    The Cybersecurity Analyst is a hands-on role that involves evaluating and enforcing security and compliance controls. This position plays an integral role in protecting Cornerstone OnDemand from internal and external threats and works closely with our technology teams to define security best practices, perform architecture and design reviews, threat...


  • Detroit, Michigan, United States KYYBA Inc Full time

    Position Overview:We are seeking a dedicated and skilled Financial Business Analyst to join our dynamic team at Kyyba. This role is pivotal in managing and analyzing billing inquiries from our diverse customer base, ensuring accuracy and efficiency in financial operations.Key Responsibilities:As a Financial Business Analyst, you will:Conduct thorough...

  • Lead Cost Analyst

    1 week ago


    Detroit, Michigan, United States KEO & Associates, INC Full time

    Lead Cost AnalystKEO & Associates, Inc. is a premier General Contractor, Construction Manager, and Design-Build firm dedicated to delivering exceptional commercial projects. Our focus on quality and innovation drives us to exceed client expectations consistently. We are on the lookout for a seasoned Lead Cost Analyst to enhance our team and support our...


  • Detroit, Michigan, United States EPITEC Full time

    Billing Operations AnalystHybrid Work EnvironmentRole Overview –The Billing Operations Analyst will be tasked with the evaluation and management of both standard and intricate billing inquiries from clients across various segments, including Small, Middle, and Key & Large groups. This role involves the setup and upkeep of billing systems for group...


  • Detroit, Michigan, United States American Axle & Manufacturing Full time

    Join Our Team as a Senior Commercial AnalystAt American Axle & Manufacturing, we recognize that our strength lies in our people. We are committed to fostering an equitable and inclusive workplace that enhances creativity and innovation through the diversity of our workforce.As part of our global team, you will be among dreamers, doers, and innovators who are...


  • Detroit, Michigan, United States KYYBA Inc Full time

    Position: Financial AnalystLocation: Detroit, MI (Hybrid)Role Overview –The Financial Analyst will be accountable for the evaluation and oversight of both standard and intricate billing inquiries received from customers across various segments, including Small, Middle, and Key & Large groups. This role encompasses the setup and ongoing management of...

  • Business Analyst II

    1 month ago


    Detroit, Michigan, United States G-TECH Services, Inc. Full time

    Engagement Description –Responsible for analysis and review of routine and complex billing inquiries received by ASC customers in Small, Middle, and Key & Large group space. Responsible for the configuration and maintenance of group customer billing systems, as well as, supporting month end financial activities.Top 3 Required Skills/Experience –•...


  • Detroit, Michigan, United States VeeRteq Solutions Inc. Full time

    Job OverviewPosition Title: Business AnalystLocation: RemoteContract Duration: 12 MonthsJob Type: ContractWork Arrangement: Hybrid (1-2 days per week)Department: ASC BillingRole Responsibilities:Conduct thorough analysis and review of both standard and intricate billing inquiries from ASC clientele across various group segments.Oversee the configuration and...

  • Budget Analyst I

    2 months ago


    Detroit, Michigan, United States Wayne State University Full time

    Budget Analyst I - Department of OncologyWayne State University is searching for an experiencedBudget Analyst I - Department of Oncologyat its Detroit campus location.Wayne State is a premier, public, urban research university located in the heart of Detroit, Michigan where students from all backgrounds are offered a rich, high-quality education. Our...

  • Budget Analyst I

    1 month ago


    Detroit, Michigan, United States Wayne State University Full time

    Budget Analyst IWayne State University is searching for an experiencedBudget Analyst Iat its Detroit campus location.Wayne State is a premier, public, urban research university located in the heart of Detroit, Michigan where students from all backgrounds are offered a rich, high-quality education. Our deep-rooted commitment to excellence, collaboration,...


  • Detroit, Michigan, United States General Motors Full time

    Position OverviewWork ArrangementThis position is designated as hybrid, requiring the successful candidate to report to the Global Technical Center in Warren, Michigan a minimum of three times per week.Role SummaryThe Controllership team is a diverse group responsible for managing various aspects of Corporate, Regional, and Business Unit Accounting,...


  • Detroit, Michigan, United States General Motors Full time

    Job OverviewWork ArrangementThis position is designated as hybrid, requiring the successful candidate to be present at the Global Technical Center in Warren, Michigan at least three times per week.Role SummaryThe Controllership team encompasses a diverse range of functions including Corporate, Regional, and Business Unit Accounting, Treasury Accounting,...


  • Detroit, Michigan, United States General Motors Full time

    Position OverviewThis role is designated as hybrid, requiring the successful candidate to report to the Global Technical Center in Warren, Michigan at least three times a week.About the RoleThe Controllership team encompasses a diverse range of functions including Corporate, Regional, and Business Unit Accounting, Treasury Accounting, Employee Benefits...