Registered Nurse for Utilization Review

2 weeks ago


Detroit, Michigan, United States AdvantEdge Full time

Position: Registered Nurse for Utilization Review

Company: AdvantEdge

Contract Duration: 9 Months

Work Arrangement: Remote

Compensation: $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 efficiency of medical services provided to patients.

Key Qualifications:

  • A minimum of 2 years of experience in acute care, holding an unrestricted Registered Nurse license.
  • Experience in ICU or ER settings is preferred; candidates should not have solely specialized in areas such as NICU, OB, BH, or Substance Abuse.
  • Familiarity with InterQual, MCG, or other utilization review methodologies is essential.

Additional Skills Required:

  • Proficient computer skills.
  • Typing speed of 40+ words per minute.

Preferred Experience:

  • Prior utilization review experience within an insurance organization, particularly for medical and surgical admissions.
  • Experience in an acute care environment focusing on utilization review.

Educational Requirements:

  • Must possess an unrestricted Registered Nurse license.


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