Clinical Nurse

2 weeks ago


Detroit, Michigan, United States Tekwissen Full time
Position Overview:

TekWissen Group serves as a prominent workforce management provider across the United States and internationally. Our client operates within the health insurance sector, delivering a variety of healthcare coverage options including individual and family plans, dental and vision coverage, as well as employer-sponsored plans.

Job Title: Clinical Nurse - Review Specialist

Work Type: Remote

Department: Commercial Inpatient Services

Engagement Details:

Essential Skills and Experience:
  • Minimum of 2 years of acute care experience with a valid 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.
Required Skills:
  • Proficient computer skills.
  • Typing speed of 40+ words per minute.
Preferred Skills:
  • Previous experience in Utilization Review at a health insurance organization, specifically in medical and surgical admissions.
  • Experience in an acute care environment focusing on Utilization Review.
Education and Certifications:
  • Must possess an unrestricted Registered Nurse license.
TekWissen Group is committed to promoting diversity in the workforce and is an equal opportunity employer.

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