Registered Nurse/ RN

TekWissen ®; Detroit (MI); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in Detroit is seeking a Registered Nurse for a 12-month contract. The role involves reviewing patient care services, establishing care plans, and ensuring compliance with medical necessities. The ideal candidate will have a current Michigan RN license, along with 2-4 years of clinical experience, contributing to patient care and healthcare delivery processes.

Qualifications

• Two (2) to four (4) years of clinical experience required.
• Demonstrated clinical knowledge and experience relative to patient care.
• One (1) year experience in health insurance or managed care preferred.

Responsibilities

• Perform reviews of inpatient, outpatient, and ancillary services for medical necessity.
• Establish care plans and coordinate care through the health care continuum.
• Handle appeal requests initiated by providers, facilities, and members.

Skills

Acute Care Experience

InterQual/MCG Utilization Review

Typing (40+ WPM)

Education

Bachelor’s Degree in Nursing or related field

Registered Nurse License

Job description

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Base pay range

$38.00/hr - $40.00/hr

Direct message the job poster from TekWissen

Title: Registered Nurse/ RN

Work Location: Detroit, MI, 48243

Duration: 12 Months

Job Type: Contract

Work Type: Remote

Overview:

TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Engagement Description –

• Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary 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.
• Bachelor’s degree in nursing, allied health, business, or related field preferred.
• Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc.
• Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes.
• One (1) year health insurance plan experience or managed care environment preferred. Registered Nurse with current unrestricted Michigan Registered Nurse license required.
• Certification in Case Management may be preferred based upon designated department assignment.

Top 3 Required Skills/Experience –

• 2 years acute care experience with an unrestricted Registered Nurse license
• ICU/ER preferred or for post-acute care positions SNF/Rehab/LTACH) *should not just be 2 years in a specialized field such as NICU/OB/BH/Substance Abuse *

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

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

• InterQual/MCG or other utilization review experience
• 40+ WPM typing

Education/Certifications – Include:

• Registered Nurse License

TekWissen Group is an equal opportunity employer supporting workforce diversity.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Other

• Industries

  Insurance

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