Care Review Clinician

Integrated Resources Inc.; Troy (MI); On-site; USD 60,000 - 75,000; Full time

Job summary

A healthcare staffing company is looking for an inpatient Utilization Manager (UM) in Troy, Michigan. The role involves reviewing patient information from hospitals, determining eligibility based on criteria, and facilitating discharge plans. Candidates must be Licensed RNs with UM experience. Strong communication and computer skills are essential for success in this position.

Qualifications

• Experience in Utilization Management (UM) required.
• Familiarity with Interqual or MCG software is a plus.

Responsibilities

• Review patient information and make approval determinations.
• Work with medical directors to ensure proper patient discharge plans.

Skills

Strong Communication

Attention to detail

Computer skills

Education

Licensed RN in the state of Michigan

Tools

Interqual

MCG

Job description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Location: Troy, MI

Shift: M-F 8:30 am to 5 pm

Duties:

Will be an inpatient UM, get cases from hospitals, review info about patient, enter info into computer system (interqual, or MCG) determine if it meets criteria, work with medical director for approval, notify Hospital of approval. Follow members from admission process all the way through to discharge, find discharge plan and where patient is being discharged to.

Top 3 Skills:
Strong Communication both verbal and written
Attention to detail
Computer skills

Qualifications

Must Haves:
UM experience
Computer skills
Licensed RN in the state of Michigan.

Nice to Have:
Familiar with interqual or MCG software