Remote RN Review Analyst – Utilization Review

Walker Healthforce, Inc.; Detroit (MI); Remote; USD 55,000 - 76,000; Full time

Benefits offered by this job

Competitive compensation package

Weekly pay via Direct Deposit

Medical, Dental & Vision available

401k options

Job summary

Walker Healthforce, Inc. is seeking a Registered Nurse – Review Analyst for a remote contract role. The position requires at least 2 years of acute care nursing experience and an active RN license. Responsibilities include clinical documentation review, applying utilization management criteria, and supporting inpatient care determinations.

Start ASAP with a 40-hour workweek. Equal opportunity employer. Experience with InterQual or MCG utilization review is preferred.

Qualifications

• Minimum 2 years of acute care nursing experience.
• Current, unrestricted Registered Nurse (RN) license.
• Experience with InterQual, MCG, or other utilization review processes.
• Advanced computer skills, including Microsoft Office proficiency and ability to navigate multiple systems.
• Typing speed of 40+ WPM.
• Strong reading comprehension skills.
• Ability to communicate professionally with internal and external clinical staff.

Responsibilities

• Review clinical documentation submitted by acute inpatient hospitals and post-acute care facilities.
• Apply InterQual criteria to evaluate the appropriateness of inpatient care.
• Assess clinical information based on severity of illness and intensity of services.
• Communicate professionally with clinical staff and physicians through written and verbal channels.
• Navigate multiple computer applications to complete utilization management reviews.
• Support provider-focused utilization management activities without direct patient interaction or claims review.

Skills

Acute care nursing

RN license

InterQual/MCG utilization review

Microsoft Office

Typing 40+ WPM

Reading comprehension

Professional communication

Tools

Microsoft Office

Job description

Walker Healthforce, Inc. is seeking a Registered Nurse – Review Analyst for a remote contract role. The position requires at least 2 years of acute care nursing experience and an active RN license. Responsibilities include clinical documentation review, applying utilization management criteria, and supporting inpatient care determinations.

Start ASAP with a 40-hour workweek. Equal opportunity employer. Experience with InterQual or MCG utilization review is preferred.