Nurse

Capital Markets Placement; Michigan; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider is seeking a qualified Registered Nurse (RN) for a remote position in Michigan. The ideal candidate will have an active RN license, strong clinical background, and advanced computer skills. Responsibilities include evaluating clinical data and ensuring compliance for Medicare Advantage members. This full-time role offers a consistent work schedule and opportunities for professional growth.

Qualifications

• Active RN license in Michigan required.
• Certification in Case Management or Utilization Review preferred.
• Experience in post-acute care settings is a plus.

Responsibilities

• Critically evaluate clinical data and medical records for accuracy.
• Review medical documents with attention to detail.
• Utilize software tools for data analysis and reporting.

Skills

Attention to detail

Time management

Advanced computer skills

Education

Active RN license in Michigan

Certification in Case Management

Tools

Microsoft Office

Job description

Job Description

We are seeking a qualified Registered Nurse (RN) for a remote position based in Michigan. The ideal candidate must have an active RN license in Michigan and possess a strong clinical background, attention to detail, and advanced computer skills.

Responsibilities

• Critically evaluate clinical data and medical records to ensure accuracy and compliance with utilization management and clinical decision support for Medicare Advantage members.
• Review medical documents across multiple programs with attention to detail and organization.
• Utilize various software tools and platforms for data analysis and reporting.

Minimum Requirements

• Active RN license in Michigan.
• Certification in Case Management or Utilization Review, with experience in post-acute care settings such as Skilled Nursing Facilities, Long Term Acute Care, or Home Health Care.
• Strong time management skills to handle multiple reviews and meet deadlines in a fast-paced environment.
• Proficiency in Microsoft Office and experience with multiple monitors, with a minimum WPM of 45-50.

Additional Details

• Work schedule includes working minor holidays and rotating weekends, typically 4 weekends per quarter, with a consistent 40 hours per week.
• Seniority level: Entry level
• Employment type: Full-time
• Job function: Healthcare Provider