Job Title: Registered Nurse – Review Analyst
Duration: 12 Months (Contract)
Location: Detroit, MI (Remote bust must reside near Detroit, Michigan)
Engagement Description:
The RN Review Analyst is responsible for processing inpatient admission requests using InterQual criteria to determine the medical necessity of an inpatient status. This role involves completing admission approvals and denials (as per physician decision), conducting telephone triage, and interpreting benefits. The RN Review Analyst plays a key role in ensuring appropriate utilization of healthcare resources.
Onsite Requirement:
This position is primarily remote; however, if there are technical issues with equipment, the employee may be required to work onsite or visit the office for computer repairs.
Top 3 Required Skills/Experience:
Additional Required Skills/Experience:
Preferred Skills/Experience:
Education/Certifications:
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