Care Review Clinician II

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

Job summary

A leading company in workforce solutions is hiring for a role in Troy, MI focused on utilization reviews in skilled nursing facilities. The ideal candidate will assess patient transfer needs and ensure medical necessity for care levels, drawing on clinical expertise. You should be prepared to work Monday through Friday from 8 am to 5 pm, contributing to efficient patient care management.

Qualifications

• Experienced with MCG guidelines (6-12 months).
• Typing speed of at least 40 WPM.
• Minimum 2-4 years in clinical practice, preferably in hospital nursing or utilization management.

Responsibilities

• Perform utilization reviews in skilled nursing facilities.
• Assess patient transfer needs from inpatient to nursing facility.
• Review nursing facility cases for medical necessity.

Skills

Utilization Reviews

Clinical Practice

MCG Guidelines

Tools

Microsoft Office Suite

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

Shifts: Monday through Friday Only - 8 am - 5 pm

Responsibilities

• Perform utilization reviews in skilled nursing facilities.
• Assess patient transfer needs from inpatient to nursing facility.
• Review nursing facility cases to determine medical necessity and appropriate level of care.

Qualifications

• Experience with MCG guidelines (6-12 months of professional experience is sufficient).
• Proficient in Microsoft Office Suite (Word, Excel, Outlook).
• Typing speed of at least 40 WPM.
• Minimum 2-4 years of clinical practice, preferably in hospital nursing or utilization management.