Kyyba Inc
Job Title: RN Review Analyst Location: 100% Remote Duration: 12+ Months Department: Commercial Inpatient Pr
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. Certification in Case Management may be preferred based upon designated department assignment. Education/Certifications ā Include: Associate degree or nursing diploma
Need help crafting an effective cover letter and resume for this role?
Get access to our expert resources: our proven framework offers successful strategies, helps you find the best-fit positions, craft standout cover letters, optimize your resume, and much more.
Get Started
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.
|
Telehealth Starter Pack |
Telehealth Pro Toolkit |
Telehealth Mastery Suite |
||
|---|---|---|---|---|
|
Price |
$34 | $79 | $149 | |
|
Resume Template Package |
 |
|
|
|
| Matching Cover Letter | |
|
|
|
| Matching Reference Page | |
|
|
|
| Resume Tips and Tricks | |
|
|
|
| Resume Optimization Guide | |
|
||
| 7 Nurse Resume Examples | |
|
||
| 20+ Professional Summary Examples | |
|
||
| How to Structure Unique Career Experiences | |
|
||
|
ā Career Accelerator Success Guide |
|
|||
| šLifetime Premium Job Board Access | |
|||
| šJob Application Tracker | |
|||
| ā1:1 Expert Support & Mentorship | |
|||
Basic
Telehealth
$34
Resume Template Package
ATS optimized design for nurses
Matching Cover Letter
Matching Reference Page
Resume Tips and Tricks
ADVANCED
Telehealth
$79
Everything from Starter Pack
Resume Optimization Guide
7 Nurse Resume Examples
20+ Professional Summary Examples
How to Structure Unique Career Experiences
BEST VALUE
Telehealth
$149
Everything from Starter Pack
Everything from Pro Toolkit
Career Accelerator Success Guide
Proven method for landing your dream role
Lifetime Premium Job Board Access
Application Tracker
1:1 Expert Support
.svg)
.svg)
.svg)
.svg)
.svg)
