RN Review Analyst Contract Strategic Staffing SolutionsDetroit MI3 weeks ago

Found in: Talent US C2 - 2 weeks ago

Detroit, United States Strategic Staffing Solutions Full time

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING

Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest clients located in Detroit, MI

Title: RN Review Analyst

Location:  Detroit, MI (Remote – must be local)

Duration: 12+ Months

Role Type:  W2 contract engagement

*May have quarterly meeting onsite

Engagement Description

Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. May establish care plans and coordinate care through the health care continuum including member outreach assessments.

Requirements:

Bachelor’s degree in nursing, allied health, business, or related field preferred. Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc. Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes. One (1) year health insurance plan experience or managed care environment preferred. Registered Nurse with current unrestricted Michigan Registered Nurse license required. Certification in Case Management may be preferred based upon designated department assignment.

The S3 Difference

The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities. The four pillars of our company are to:

Set the bar high for what a company should do Create jobs Offer people an opportunity to succeed and change their station in life Improve the communities where we live and work through volunteering and charitable giving

As an S3 employee, you’re eligible for a full 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-234634
Publish Date: 26 Mar 2024

Tagged as: RN Review Analyst

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