Utilization Review RN – Inpatient & Behavioral Health

Healthcare Support Staffing; Troy (MI); On-site; USD 70,000 - 90,000; Full time

Job summary

A national healthcare staffing firm is seeking an experienced Registered Nurse for a position focused on Utilization Review. This role involves collaborating to enhance care continuity and conducting reviews for Medicaid and Medicare patients. The ideal candidate will have relevant experience in a managed care environment, specifically with Interqual. This opportunity offers the chance to further your career with a prestigious healthcare company in Michigan.

Qualifications

• At least one year of experience in Utilization Review, preferably in Managed Care or Provider environment.
• Minimum one year of experience with Interqual.
• Must be a Registered Nurse licensed in Michigan.

Responsibilities

• Identify benefits and expected stay length for member treatments.
• Participate in interdepartmental collaboration for care continuity.
• Conduct utilization reviews for Medicaid and Medicare.

Skills

Utilization Review background

Interqual experience

Registered Nurse license

Job description

A national healthcare staffing firm is seeking an experienced Registered Nurse for a position focused on Utilization Review. This role involves collaborating to enhance care continuity and conducting reviews for Medicaid and Medicare patients. The ideal candidate will have relevant experience in a managed care environment, specifically with Interqual. This opportunity offers the chance to further your career with a prestigious healthcare company in Michigan.