Registered Nurse-Review Analyst
ICONMA, LLC
Our Client, a Health Insurance company, is looking for a Registered Nurse-Review Analyst for their Remote location. Responsibilities:
+ Perform prospective, concurrent and retrospective review of post-acute care 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.
Requirements:
+ Above average computer skills (Microsoft office).
+ Clinical experience in SNF, LTAC or IPR preferred.
+ Prefer utilization management experience.
+ Registered Nurse with current unrestricted Michigan Registered Nurse license required.
+ 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.
+ Current unrestricted Michigan Registered Nurse license required.
Preferred Skills/Experience – Optional but preferred skills/experience. Include:
+ Bachelor’s degree in nursing, allied health, business, or related field preferred.
+ One (1) year health insurance plan experience or managed care environment preferred.
Why Should You Apply?
+ Health Benefits
+ Referral Program
+ Excellent growth and advancement opportunities
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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