RN Review Analyst

Detroit, MI 48226

Posted: 01/11/2019 Category: Registered Nurse Job Number: 24074
A-Line Staffing is hiring an RN Review Analyst / Utilization Review Nurse to work for Client in Detroit, MI.  

SCHEDULE: Tues-Sat, 8a-5p,  Full-Time, 40 hours per week

Environment: In Office, Telephonic or Computer Approval/Denial of procedures, facility transfer, DME, etc.

Summary:
Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation. May be required to enter or reference data via PC and/or CRT terminal.

Requirements:
  • Registered Nurse with current Michigan driver' s license.
  • Associate Degree or nursing diploma required.
  • Two (2) years patient care experience.
  • Triage, case management and/or rehabilitation experience preferred.
  • Expertise in the use of medical terminology.
  • InterQual knowledge required.
  • Some weekends and holidays required. 

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