w3r Consulting

Case Management/Utilization Review RN

Posted on

May 20, 2025

Job Type

Contract

Role Type

Case Management

License

RN

State License

Michigan

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Company Description

Job Description

Job Title: Registered Nurse - Review Analyst Location: Remote – Must reside in Michigan Contract Duration: 10 Months Position Summary: Seeking a Michigan-based Registered Nurse (RN) for a fully remote, 10-month contract role reviewing clinical documentation for Medicare Advantage members.

Requirements

Top Required Skills: Strong clinical background with experience in utilization review Attention to detail; ability to manage multiple case reviews Advanced computer skills; 45–50 WPM typing, Microsoft Office proficiency Additional Qualifications: Certification in Case Management or Utilization Review (preferred) Experience with SNF, LTAC, or Home Health care reviews Excellent time management and communication skills Education & License: Active RN license in Michigan (Required) Associate’s degree or higher in Nursing

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Responsibilities

The role involves evaluating post-acute care records to support utilization management decisions.

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