RN Review Analyst

Detroit, MI

Posted: 01/17/2019 Category: Registered Nurse Job Number: 24175
RN Utilization Review
Schedule: Tuesday - Saturday 9a - 6p (No Holidays!)

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. Other related skills may be required to perform this job.  Utilize Interqual criteria and CMS Guidelines for approval or rejection of claims.

Requirements:
  • Registered Nurse with current and unrestricted Michigan RN 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. 
Call 877-782-3334 for more information

Send an email reminder to:

Share This Job:

Related Jobs:

Login to save this search and get notified of similar positions.