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Utilization review Nurse

LanceSoft Inc
MI Contractor | Full Time
POSTED ON 5/5/2024
Job Description:
  • This position will be remote role for Nurses in Michigan
  • Should have a valid MI RN License
  • Should Have utilization management experience.
  • Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously.
  • The candidate should be well versed in coordination of care activities along with discharge planning which is a plus for this role in ensuring members are transitioned safely following care.
  • In addition, the candidate should have knowledge of post-acute InterQual criteria that is utilized in this role.
Requirements:
  • Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes.
  • One 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.
  • Above average computer skills
  • Clinical experience in ICU, ER, or medical surgical unit preferred.

Salary.com Estimation for Utilization review Nurse in MI

$77,733 - $95,045

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