Job Description

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 however must be local to Detroit)
Duration: 12+ Months W2 Contract role
Pay Rate: up to $40/HR

*May be required to come into the office for meetings and training.

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:

• Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc.
• Clinical experience in ICU, ER, or medical surgical unit preferred.
• Prefer utilization management experience.
• 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.
• Above average computer skills (Microsoft office).
• Bachelor’s degree in nursing, allied health, business, or related field preferred.
• Registered Nurse with current unrestricted Michigan Registered Nurse license required.
• Certification in Case Management may be preferred based upon designated department assignment.

*Beware of scams. S3 never asks for money during its onboarding process