Walker Healthforce, LLC
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, weāre custom not commodity and weāve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
Walker Healthforce is seeking a Registered Nurse (RN) Review Analyst with 2+ years of experience located in Michigan. This is a 6-month contract opportunity.
Must be a RN with an unrestricted Registered Nurse Michigan license Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc. Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes- 2 years acute care experience ICU/ER preferred *should not just be 2 years in a specialized field such as NICU/OB/BH/Substance Abuse* InterQual/MCG or other utilization review experience Triage, case management or utilization review experience Associate Degree or nursing diploma required WE CONSIDER IT A BONUS IF YOU ALSO HAVE: Utilization Review experience at a previous insurance company (medical, surgical admissions) Utilization Review experience in an acute care setting One (1) year health insurance plan experience or managed care environment
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Responsible for the review of precertification, admissions approvals, telephone triage, and/or benefit interpretation. May be required to enter or reference data via PC. Other related skills may be required to perform this job. The maximum hourly rate reflects budget estimates only and does not reflect the final negotiated rate.
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Basic
Telehealth
$34
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ATS optimized design for nurses
Matching Cover Letter
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Resume Tips and Tricks
ADVANCED
Telehealth
$79
Everything from Starter Pack
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Telehealth
$149
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Career Accelerator Success Guide
Proven method for landing your dream role
Lifetime Premium Job Board Access
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