RN Utilization Management

Kyyba, Inc. is a global workforce management and technology solutions firm headquartered in Farmington Hills, Michigan with multiple locations across the globe. Our expertise is in connecting the right people with the right opportunities. We deliver high-quality solutions and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. Kyyba offers IT, Engineering, Professional, customized project solutions and Business Consulting Services. Industry areas include but are not limited to Automotive, Education, Financial Services, Public Services, Aerospace & Defense, Insurance, Transportation, Technology, Government, Healthcare & Medical, Manufacturing, and Oil & Energy.

Job Title: RN Review Analyst Location: 100% remote [Office located in Detroit, MI] Duration: 12+ Months License Required: Active & unrestricted Michigan RN license Engagement Description The RN Analyst Reviewer role encompasses the processing of inpatient admission requests utilizing InterQual criteria to determine the medical necessity of an inpatient status. The RN Review Analyst will perform admission approvals, admission denials per MD decision, telephone triage, and benefit interpretation.