Registered Nurse (InterQual) -Remote - MI Drivers & RN License -Detroit, MI

KYYBA Inc; Detroit (MI); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare company is seeking a Registered Nurse (InterQual) in Detroit, MI for a remote role. The RN Analyst Reviewer will process admission requests, utilizing medical criteria to ensure proper patient care. Applicants must have a current RN license in Michigan and relevant experience in ER or ICU.

Benefits

401k

Term life insurance

Voluntary life and disability insurance

Optional Pre-paid legal plan

Optional Identity theft plan

Optional Medical and dependent FSA

Opportunity for advancement

Long-term assignment with opportunity for hire by client

Qualifications

• Registered Nurse with current Michigan driver's license required.
• Two years patient care experience – ER or ICU preferred.
• Experience in triage, case management, or utilization review is a plus.

Responsibilities

• Process inpatient admission requests utilizing InterQual criteria.
• Perform admission approvals and denials per MD decision.
• Conduct telephone triage and benefit interpretation.

Skills

Medical terminology

Patient care

Triage

Education

Associate's Degree or Nursing Diploma

Tools

Microsoft Office Suite

Job description

Registered Nurse (InterQual) -Remote - MI Drivers & RN License -Detroit, MI

Registered Nurse (InterQual) -Remote - MI Drivers & RN License -Detroit, MI

2 days ago Be among the first 25 applicants

Direct message the job poster from KYYBA Inc

Job Title: RN Review Analyst (InterQual) -Remote - MI Drivers & RN License -Detroit, MI

Are you a Registered Nurse seeking a dynamic and rewarding opportunity? Our client, a leading company in Healthcare, is looking for a talented registered nurse to join their growing team in Detroit, MI.

About Kyyba:Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence

delivering high-quality resources and top-notch recruiting services, enabling businesses to

effectively respond to organizational changes and technological advances.

At Kyyba, the overall well-being of our employees and their families is important to us. We are

proud of our work culture which embodies our core values; incorporating value, passion,

excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We

empower our employees with the resources, incentives, and flexibility that they need to support

a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced

compensation structure combined with career development.Kyyba is recruiting for the below mentioned position with our direct client which is one of the major Healthcare Payers in the US.

Job Description

Will this position be required to work onsite for any reason at any time? Yes. If their computer is not working, they may be asked to work onsite or to come into the office to have it fixed.

Engagement Description –

The RN Analyst Reviewer role encompasses the processing of inpatient admission requests utilizing InterQual criteria to determine the medical necessity of an inpatient status. The RN Review Analyst will perform admission approvals, admission denials per MD decision, telephone triage, and benefit interpretation.

Top 3 Required Skills/Experience –

• Registered Nurse with current Michigan driver's license

• Two (2) years patient care experience – ER or ICU preferred

Required Skills/Experience – The rest of the required skills/experience. Include:

• Expertise in the use of medical terminology

• Familiar with Microsoft Office Suite including Teams

Preferred Skills/Experience – Optional but preferred skills/experience. Include:

• Triage, case management or utilization review experience

• Experience with Clinical Care Advance

Education/Certifications – Include:

• Associate's Degree or Nursing Diploma

Kyyba is an Equal Opportunity Employer.

Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.”

It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at 248-813-9665

Rewards:

401k

Term life

Voluntary life and disability insurance

Optional Pre-paid legal plan

Optional Identity theft plan

Optional Medical and dependent FSA

Opportunity for advancement

Long-term assignment with opportunity for hire by client

SELECT AWARDS

• An INC 5000 company for 10 years
• Corp! Michigan Economic Bright Spots
• Crain’s Detroit Business Top Staffing Service Companies in Detroit
• TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
• Best of MichBusiness winner in HR Wizards & Partnerships
• Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest
• 101 Best & Brightest Companies to Work for in Michigan

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider

• Industries

  Nursing Homes and Residential Care Facilities

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