Registered Nurse | Review Analyst I Remote | Contract

Walker Healthforce; Detroit (MI); Remote; USD 70,000 - 85,000; Full time

Job summary

Walker Healthforce is seeking a Remote Registered Nurse (RN) Review Analyst based in Michigan for a 6-month contract opportunity. The role involves reviewing post-acute care services, ensuring medical necessity, and coordinating care plans. Ideal candidates will have clinical experience in relevant settings along with a strong nursing background.

Benefits

Competitive compensation package

Weekly pay via Direct Deposit

401k options

Qualifications

• Registered Nurse with current unrestricted Michigan Registered Nurse license.
• 2-4 years of clinical experience in areas like case management and discharge planning.
• Experience in SNF, LTAC, or IPR settings preferred.

Responsibilities

• Perform review of post-acute care services for medical necessity and appropriate care.
• Establish care plans and coordinate care through member outreach assessments.

Skills

Strong Computer Skills

Education

Bachelor's degree in nursing, allied health, business, or related field

Job description

Registered Nurse (RN) Review Analyst | Remote | Michigan | Contract

Walker Healthforce is seeking a Registered Nurse (RN) Review Analystwith 2+ years of experience located in Michigan. This is a 6-month contract opportunity.

CORE REQUIREMENTS :

• Registered Nurse with current unrestricted Michigan Registered Nurse license
• 2-4 years of clinical experience which may include acute / post-acute patient care, discharge planning, case management, or utilization review
• Clinical experience in SNF (Skilled Nursing Facility), LTAC (Long Term Acute Care) or IPR (Inpatient Rehabilitation)
• Strong Computer Skills- Microsoft Office / Excel

WE CONSIDER IT A BONUS IF YOU ALSO HAVE :

• Utilization management experience and one (1) year health insurance plan experience or managed care environment
• InterQual or Millman Cares Guidelines experience
• ICU or ER clinical experience
• Bachelor's degree in nursing, allied health, business, or related field

JOB RESPONSIBILITIES :

Perform prospective, concurrent and retrospective review of post-acute care services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. May establish care plans and coordinate care through the health care continuum including member outreach assessments.

WHAT WE OFFER :

• Competitive compensation package
• Weekly pay via Direct Deposit
• 401k options

WHY WORK WITH WALKER?

• Access to our top ranked team of recruiting and placement specialists
• Continuous, one-on-one support from a dedicated engagement manager
• Professional resume development and interview preparation

Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US :

Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.