Registered Nurse - Review Analyst

24HRPO; Detroit (MI); Remote; USD 65,000 - 85,000; Full time

Job summary

A leading healthcare organization is seeking a compassionate Registered Nurse - Review Analyst to join their remote team in Michigan. The ideal candidate will have a strong clinical background and advanced computer skills, focusing on the evaluation of clinical data for Medicare Advantage members. This role emphasizes attention to detail and organizational skills, ensuring compliance with utilization management. If you're ready to make an impact in patient care, apply now!

Qualifications

• Certification in Case Management or Utilization Review is required.
• Experience in post-acute care settings such as Skilled Nursing Facilities is preferred.
• WPM of at least 45-50.

Responsibilities

• Critically evaluate clinical data and medical records for accuracy.
• Review medical documents across multiple programs.
• Manage multiple reviews and meet deadlines.

Skills

Clinical Evaluation

Attention to Detail

Organizational Skills

Advanced Computer Skills

Time Management

Education

State of Michigan RN License

Associates degree or higher

Tools

Microsoft Office

Job description

We're Hiring: Registered Nurse-Review Analyst!

We are seeking a compassionate and dedicated Registered Nurse to join our healthcare team in Lansing. The ideal candidate will possess exceptional clinical skills, a commitment to patient care, and the ability to work effectively in a fast-paced environment.

Location: Detroit, MI

Work Mode: Work from home - 100% remote, but must be licensed and residing in Michigan state

Role: Registered Nurse - Review Analyst

Worksite Requirement: This position is fully remote; no onsite work is required.

Top 3 Required Skills/Experience

1. Strong Clinical Background: Ability to critically evaluate clinical data and medical records to ensure accuracy and compliance with utilization management/clinical decision support for Medicare Advantage members.
2. Attention to Detail and Organizational Skills: Reviewing medical documents across multiple programs.
3. Advanced Computer Skills: Proficiency in various software tools and platforms for data analysis and reporting.

Required Skills

• Certification in Case Management or Utilization Review; experience in the review process for post-acute care settings such as Skilled Nursing Facilities, Long Term Acute Care, and Home Health Care.
• Strong Time Management Skills: Ability to manage multiple reviews and meet deadlines in a fast-paced environment.
• Advanced Computer Skills: Experience with Microsoft Office and utilization of multiple monitors, with a WPM of at least 45-50.

Education/Certifications

• State of Michigan RN License, Associates degree or higher.

Ready to make an impact? Apply now and let’s grow together!