RN Review Analyst

Strategic Staffing Solutions; Detroit (MI); Remote; USD 74,000 - 80,000; Full time

Job summary

Strategic Staffing Solutions is seeking an RN Review Analyst for a contract position in Detroit, MI, that allows for mostly remote work. The role involves reviewing medical services for necessity and length of care, and requires a Michigan RN license along with relevant clinical experience. Candidates should possess strong computer skills and be capable of coordinating care effectively.

Qualifications

• Bachelor's degree in nursing or related field preferred.
• Michigan RN license required.
• 2-4 years of clinical experience needed.

Responsibilities

• Perform reviews of inpatient, outpatient, and ancillary services.
• Establish care plans and coordinate member care.
• Manage appeal requests from providers and members.

Skills

Clinical experience in ICU

Clinical experience in ER

Clinical experience in medical surgical unit

Above average computer skills

Education

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

Registered Nurse with Michigan license

Job description

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!

Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest clients located in Detroit, MI!

Title: RN Review Analyst
Location:Detroit, MI (Mostly remote; may be required to come into office for meetings)
Duration: 12+ Months
Role Type:W2 Contract Engagement
Pay Rate: $38/HR Max

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.

Top 3 Required Skills/Experience

• 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.
• Registered Nurse with current unrestricted Michigan Registered Nurse license required.

Required Skills/Experience

• Above average computer skills (Microsoft office).
• Clinical experience in ICU, ER, or medical surgical unit preferred.
• Resource will be able to perform this role offsite. May be required to come into the office for meetings and training.

Preferred Skills/Experience

• One (1) year health insurance plan experience or managed care environment preferred.
• Certification in Case Management may be preferred based upon designated department assignment.

*Beware of scams. S3 never asks for money during its onboarding process

Job ID: JOB-241736
Publish Date: 23 May 2025

Tagged as: RN Review Analyst