w3r Consulting
Job Title: Registered Nurse – Review Analyst Contract Duration: 8 Months Location: Detroit, MI (Remote) Job Type: Contract We are seeking an experienced and detail-oriented Registered Nurse – Review Analyst for an 8-month remote contract based in Detroit, MI.
Top 3 Required Skills/Experience: Minimum 2 years of acute care experience with an unrestricted Registered Nurse license Experience should not be limited to specialized areas such as NICU, OB, BH, or Substance Abuse ICU or ER experience strongly preferred Familiarity with InterQual, MCG, or other utilization review criteria/tools Required Skills/Experience: Advanced computer proficiency Typing speed of 40+ WPM Strong verbal and written communication abilities Excellent organizational and multitasking skills Preferred Skills/Experience: Previous Utilization Review experience with a health insurance company (medical or surgical admissions) Utilization Review experience within an acute care setting Education and Certifications: Must hold a current, unrestricted Registered Nurse (RN) license in the United States
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The selected candidate will be responsible for the review of precertifications, admission approvals, telephone triage, and benefit interpretation. This role requires clinical judgment, attention to detail, and strong communication skills to ensure appropriate care decisions are made. Data entry and interaction with clinical guidelines and internal systems are essential aspects of this role.
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