RN Review Analyst

Detroit, MI 48226

Posted: 01/17/2019 Category: Registered Nurse Job Number: 24173
RN Utilization Review
Schedule: Tuesday - Saturday 9a - 6p (No Holidays!)

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.

  • 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

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