Educated Solutions Corp

RN Review Analyst

Posted on

September 12, 2025

Job Type

Full-Time

Role Type

Clinical Operations

License

RN

State License

Michigan

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Company Description

Educated Solutions Corp. (ESC) is a recruitment firm, offering contract for hire and direct placement services, specializing in placing individuals in careers that match their experience, education and compensation levels. If you are an employer looking for recruiting assistance or a job seeker looking to apply for new opportunities ESC is for you. We take a different approach than many of our competitors as we work closely with job seekers to rework resumes, provide interview coaching and preparation and find jobs that meet career goals and monetary desires. Our services for job seekers are completely free of charge. Employers can expect personalized service at affordable prices. We provide both Direct Placement and Contract services in all industries. Our virtual office model, promotes the lowest overhead possible, enabling us to beat our competitors in the pricing game. As our staffing professionals are experts in recruiting, we are able to locate and qualify professionals in any skill set, price range and location. Our Operating Principles and business reputation demonstrates our willingness to work within our clients'​ budgets, while providing thoroughly screened, well-prepared talent. ESC is a Certified Woman-Owned Business Enterprise (WBE)

Job Description

ESC has an exciting opportunity for an RN Review Analyst to work fully remotely and 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. The Review Analyst may establish care plans and coordinate care through the health care continuum including member outreach assessments.

Requirements

Required Experience: Bachelor’s degree in nursing, allied health, business, or related field preferred. 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. One (1) year health insurance plan experience or managed care environment preferred. Registered Nurse with current unrestricted Michigan Registered Nurse license required. Additional Requirements: InterQual / MCG or Utilization Review experience Microsoft Office experience Experience with multiple monitors / screen usage Time Management: Preferred Skills/Experience Ability to work independently in remote environment Education/Certifications: Associates or Bachelors in Nursing Active unrestricted Registered Nurse License

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