Healthcare Professional for Precertification Admission Reviews

3 weeks ago


Detroit, Michigan, United States w3r Consulting Full time

About the Opportunity:

w3r Consulting is a leading consulting firm providing expert services to healthcare organizations. We are currently seeking a skilled Registered Nurse to fill the role of Healthcare Professional for Precertification Admission Reviews.

Key Responsibilities:

  • Review precertification admission and concurrent reviews to determine the appropriateness of the inpatient setting
  • Collaborate with healthcare providers and facilities to ensure accurate and timely decision-making
  • Develop and maintain strong relationships with Medical Directors and other stakeholders

Requirements:

  • Registered Nurse with current unrestricted Michigan Registered Nurse license required
  • Two (2) years patient care experience, including acute care and discharge planning
  • Excellent written and oral communication skills

Compensation and Benefits:

We offer a competitive salary range of $80,000 - $105,000 per year, depending on experience, plus a comprehensive benefits package, including health insurance, retirement savings plan, and paid time off.



  • Detroit, Michigan, United States w3r Consulting Full time

    About the Role:At w3r Consulting, we are seeking a highly skilled Registered Nurse to join our team as a Clinical Utilization Review Specialist. This is a critical role that requires strong clinical knowledge and expertise in reviewing precertification admission and concurrent reviews for the appropriateness of the inpatient setting.Key...


  • Detroit, Michigan, United States w3r Consulting Full time

    Join w3r Consulting as a Nurse Review Coordinator, where you will play a critical role in ensuring the accuracy and efficiency of our healthcare services. We are committed to providing high-quality patient care and delivering exceptional results.About the RoleWe are seeking a skilled Nurse Review Coordinator with experience in patient care and health care...


  • Detroit, Michigan, United States Behavioral Center of Michigan Full time

    OverviewThe Behavioral Center of Michigan seeks a detail-oriented and compassionate Admitting Coordinator to play a vital role in ensuring a seamless patient experience from the moment of hospital admission.This key position involves verifying patients' information, including their insurance details, in close collaboration with Billing and Utilization Review...


  • Detroit, Michigan, United States w3r Consulting Full time

    At w3r Consulting, we are seeking a highly skilled Clinical Care Specialist to join our team. This is a rewarding opportunity to utilize your expertise in patient care and health care delivery processes.About the RoleWe offer an estimated salary of $85,000 - $110,000 per year, depending on experience, with opportunities for professional growth and...


  • Detroit, Michigan, United States LanceSoft Full time

    Job Title: Healthcare Utilization Review SpecialistWe are seeking a highly skilled and experienced Healthcare Utilization Review Specialist to join our team at LanceSoft.About the Role:Perform thorough reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service, and level...


  • Detroit, Michigan, United States LanceSoft Full time

    Job OverviewLanceSoft, a certified Minority Business Enterprise (MBE), is seeking a highly skilled Registered Nurse-Review Analyst to join our team. As a key member of our healthcare review team, you will play a vital role in ensuring the medical necessity of post-acute care services.About the RoleThis challenging and rewarding position requires strong...


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

    Job OverviewWe are seeking a highly skilled Registered Nurse to join our team in the Insurance industry in Detroit, Michigan. As a Clinical Review Specialist, you will play a critical role in ensuring medical necessity for post-acute care services.This is an excellent opportunity to utilize your clinical expertise and experience in case management,...


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

    We are seeking an experienced Medical Review Specialist to join our team at Strategic Staffing Solutions. As a Medical Review Specialist, you will be responsible for reviewing and analyzing patient data to ensure medical necessity, appropriateness of care, and optimal resource allocation.The ideal candidate will have a strong understanding of clinical...

  • Tax Professional

    2 weeks ago


    Detroit, Michigan, United States K Tax Professional Full time

    Company OverviewK Tax Professional is a reputable tax preparation service that offers expert assistance in filing income tax returns. Our team of qualified professionals provides personalized support to ensure accurate and timely completion of tax forms.We are committed to delivering exceptional service, adhering to legislation and regulations. Estimated...


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

    We are currently hiring for a skilled Registered Nurse (RN) to fill the position of RN Medical Necessity Reviewer. This role requires a high level of expertise in reviewing medical records to determine the medical necessity of services provided to patients. The ideal candidate will have a strong understanding of clinical policies and procedures, as well as...


  • Detroit, Michigan, United States Tenet Healthcare Corporation Full time

    Mental Health Tech Part Time Evening Job Summary:This role involves working in a multidisciplinary team to provide treatment to patients with mental illness under the supervision of a registered nurse. The ideal candidate should have one year of college study in behavioral health or equivalent experience, and active CPR certification. Responsibilities...


  • Detroit, Michigan, United States Corktown Health Center Full time

    Job OverviewCorktown Health Center is dedicated to advancing health and well-being for all, with a focus on the LGBTQ+ community. As a dynamic and diverse organization, we strive to achieve health equity for all.The HIV Prevention Specialist plays a crucial role in providing prevention education, outreach, CTR services, PrEP navigation & support,...


  • Detroit, Michigan, United States Detroit Medical Center Full time

    Job Overview: We are seeking a skilled Care Coordination Specialist to join our team at the Detroit Medical Center. As a key member of our rehabilitation department, you will be responsible for developing and implementing interdisciplinary treatment plans for patients in the inpatient setting. Your primary goal will be to facilitate quality care in an...


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

    About the RoleThe Detroit Wayne Integrated Health Network is seeking a highly skilled Physician Assistant to join our team in a critical role. As a Crisis Response Physician Assistant, you will provide comprehensive care to individuals experiencing mental health crises. This is an excellent opportunity to make a meaningful difference in the lives of those in...


  • Detroit, Michigan, United States Genie Healthcare Full time

    The average hourly wage for this Healthcare Imaging Professional role in Detroit, Michigan is $90-$140 per hour.About the JobWe are seeking a skilled Healthcare Imaging Professional to join our team for a 12-week travel assignment in Detroit, MI. As a Healthcare Imaging Professional, you will be responsible for performing imaging procedures and providing...


  • Detroit, Michigan, United States Centria Healthcare Full time

    About the RoleWe are seeking a Home Healthcare Professional to join our Private Duty Nursing team in West Bloomfield Township. As a Home Healthcare Professional, you will provide skilled nursing care to pediatric patients in the comfort of their own homes.Key ResponsibilitiesAssess patient needs and develop individualized care plansProvide skilled nursing...


  • Detroit, Michigan, United States R1 RCM Full time

    Become a Healthcare Reimbursement Professional with R1 RCM and play a critical role in transforming patient experiences and hospital financial performance. In this challenging yet rewarding role, you will serve as an expert on appeals and denials management, preparing written documents and representing clients during hearings if needed.You will conduct...


  • Detroit, Michigan, United States Planet Healthcare Full time

    About the OpportunityWe are seeking a skilled Emergency Department Registered Nurse to join our team as a travel healthcare professional in Detroit, Michigan.Key DetailsDuration: 13 weeksShift: 12 hours per weekEmployment Type: TravelThe estimated salary for this position is $120,000 - $180,000 per year, based on 36 hours of work per week and a tax-free...


  • Detroit, Michigan, United States Host Healthcare Full time

    About Host HealthcareAt Host Healthcare, we are committed to delivering exceptional patient care and employee satisfaction. We offer a supportive work environment, comprehensive benefits package, and opportunities for professional growth and development.This travel assignment presents a fantastic opportunity to enhance your skills, explore new destinations,...


  • Detroit, Michigan, United States Planet Healthcare Full time

    Emergency Department Nurse Travel OpportunityPlanet Healthcare is seeking a dedicated travel nurse for a 13-week assignment in Detroit, Michigan. This exciting opportunity offers a unique chance to gain diverse clinical experience while enjoying the benefits of travel nursing.About the JobThis position requires a skilled and compassionate Registered Nurse...