Registered Nurse

2 weeks ago


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

We are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Registered Nurse. This role will be responsible for ensuring that patients receive the most appropriate level of care, while also promoting efficient resource utilization.

Key Responsibilities:
  • Conduct thorough assessments of patients to determine their medical necessity and appropriateness for care
  • Collaborate with healthcare teams to develop and implement effective care plans
  • Communicate with payors to secure authorization for services and resolve any disputes
  • Monitor and analyze data to identify trends and opportunities for improvement
  • Provide education and support to patients and families to promote self-management and empowerment
Requirements:
  • Active RN license in the state of Michigan
  • At least 2 years of experience in acute hospital or behavioral health patient care
  • Strong analytical and problem-solving skills, with ability to work in a fast-paced environment
  • Excellent communication and interpersonal skills, with ability to work effectively with diverse populations
  • Ability to work independently and as part of a team, with a strong focus on patient-centered care
About Us:

The Detroit Medical Center is a leading academic medical center in Metro Detroit, with a long history of medical education and innovation. We are committed to providing exceptional patient care and promoting a culture of excellence and teamwork.


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