Current jobs related to Nursing Review Specialist - Detroit, Michigan - Strategic Staffing Solutions


  • Detroit, Michigan, United States Umanist Staffing LLC Full time

    Job Title: Clinical Review SpecialistUmanist Staffing LLC is seeking a highly skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate...


  • Detroit, Michigan, United States W3R Consulting Full time

    Job 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...


  • Detroit, Michigan, United States w3r Consulting Full time

    Job Summary:As a Healthcare Review Specialist with w3r Consulting, you will play a critical role in ensuring the quality and appropriateness of healthcare services. You will conduct thorough reviews of inpatient, outpatient, and ambulatory services to verify medical necessity and ensure that care is delivered in a timely and efficient manner.Key...


  • Detroit, Michigan, United States LanceSoft Full time

    Job SummaryWe are seeking a highly skilled Clinical Review Specialist to join our team at LanceSoft. As a key member of our post-acute care review team, you will be responsible for ensuring the medical necessity of services provided to our members.Key Responsibilities:Conduct prospective, concurrent, and retrospective medical necessity reviews of post-acute...


  • Detroit, Michigan, United States ICONMA Full time

    Job 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...


  • Detroit, Michigan, United States Umanist Staffing LLC Full time

    Job 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...


  • Detroit, Michigan, United States w3r Consulting Full time

    Job 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...


  • Detroit, Michigan, United States LanceSoft Full time

    Job SummaryWe are seeking a skilled Clinical Review Specialist to join our team at LanceSoft. In this role, you will be responsible for conducting thorough reviews of inpatient, outpatient, and ambulatory services to ensure medical necessity and appropriate care.Key Responsibilities:Perform prospective, concurrent, and retrospective reviews of healthcare...


  • Detroit, Michigan, United States PSG Global Solutions Careers Full time

    Job OpportunityWe are seeking a skilled Registered Nurse to join our team as a Review Analyst in the Insurance industry in Detroit, Michigan, United States.About the RoleThis is a challenging and rewarding opportunity to work with our client, a fast-growing industry-recognized staffing firm. As a Review Analyst, you will be responsible for performing...


  • Detroit, Michigan, United States destinationone Consulting Full time

    Job 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...


  • Detroit, Michigan, United States destinationone Consulting Full time

    Job 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...


  • Detroit, Michigan, United States W3R Consulting Full time

    Job 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...


  • Detroit, Michigan, United States LanceSoft Full time

    Job 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,...


  • Detroit, Michigan, United States Umanist Staffing LLC Full time

    Job 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...

  • Clinical Review Nurse

    3 weeks ago


    Detroit, Michigan, United States LanceSoft Full time

    Job 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...


  • Detroit, Michigan, United States Tenet Regional Resource Pool Full time

    Job 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 Review Nurse

    3 weeks ago


    Detroit, Michigan, United States LanceSoft Full time

    Job 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...


  • Detroit, Michigan, United States LanceSoft Full time

    Job 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...

  • Clinical Reviewer

    2 weeks ago


    Detroit, Michigan, United States Umanist Staffing LLC Full time

    Job 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,...

  • Clinical Reviewer

    3 weeks ago


    Detroit, Michigan, United States ICONMA Full time

    Job 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...

Nursing Review Specialist

2 months ago


Detroit, Michigan, United States Strategic Staffing Solutions Full time
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING

Strategic Staffing Solutions is currently seeking a Nursing Review Specialist for a contract opportunity with one of our esteemed clients.

Title: Nursing Review Specialist

Location: Remote (must be local)

Duration: 10+ Months

Role Type: W2 contract engagement

*This position allows for remote work, though occasional travel to the office may be necessary.

Engagement Overview

The Nursing Review Specialist will be responsible for evaluating post-acute precertification, approving admissions, conducting telephone triage, and interpreting benefits. The role may involve data entry or referencing information via a computer. Additional related skills may be required to fulfill this position.

Qualifications:
  • Registered Nurse with a valid Michigan driver's license.
  • Associate Degree or nursing diploma is mandatory.
  • A minimum of two (2) years of patient care experience.
  • Experience in triage, case management, or utilization review is preferred.
  • Proficiency in medical terminology is essential.
  • Knowledge of InterQual is advantageous.
  • Availability for some weekends and corporate holidays. On-call duties may be required, potentially leading to overtime.
The S3 Commitment

At S3, our global mission is to cultivate trusting relationships and provide solutions that have a positive impact on our clients, our consultants, and our communities. Our company is built on four foundational pillars:
  • Setting high standards for corporate responsibility
  • Creating job opportunities
  • Empowering individuals to succeed and transform their lives
  • Enhancing the communities where we operate through volunteerism and charitable contributions
As an S3 employee, you will have access to a comprehensive benefits package that may include:
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Plan
  • Vacation Package
  • Life & Disability Insurance Plans
  • Flexible Spending Accounts
  • Tuition Reimbursement
Job ID: JOB-237004