What are the responsibilities and job description for the RN- Review Analyst-MI license position at G-TECH Services, Inc.?
REMOTE. Must have a state of MI unrestricted RN license and a BSN.
Job Summary
We are seeking a dedicated and detail-oriented RN-Review Analyst with a valid MI (Michigan) license to join our dynamic team. In this pivotal role, you will
- 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
Important QUALIFICATIONS:
- Above average computer skills (Microsoft office)
- Clinical experience in ICU, ER, or medical surgical unit preferred
- Prefer utilization management experience
Additional Qualifications:
- 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
Education/Certification:
- Bachelor’s degree in nursing, allied health, business, or related field preferred
- Registered Nurse with current unrestricted Michigan Registered Nurse license required
Pay: $33.00 - $36.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- of ICU, ER or medical surgical unit: 2 years (Required)
- case management, discharge planning: 3 years (Required)
- utilization review: 1 year (Required)
- managed care environment: 1 year (Required)
Work Location: Remote
Salary : $33 - $36