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Registered Nurse-Review Analys

Remote:

Full Remote

Contract:

Fixed term

Experience:

Mid-level (2-5 years)

Work from:

United States

Offer summary

Qualifications:

2 years acute care experience, Unrestricted Registered Nurse license in Michigan, InterQual/MCG or other utilization review experience, Advanced computer skills, 40+ WPM typing.

Key responsabilities:

Review clinical documentation from facilities
Apply InterQual criteria for assessments
Interact professionally with clinical staff

ICONMA Human Resources, Staffing & Recruiting Large https://www.iconma.com/

1001 - 5000 Employees

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Job description

Your missions

Location: Remote
Duration: 10 months

Description:
Department: Commercial Inpatient Pr

Client UM Program is provider focused requiring professional interaction with Acute Inpatient Hospital/Post-Acute Care clinical staff and physicians. Program is not member/patient facing.

Goal of UM Program is to ensure member is in the most appropriate setting based on severity of their illness and intensity of services being provided in the inpatient setting.

Role for clinical Registered Nurse requires review of clinical documentation provided by the facility, application of InterQual criteria, and ability to professionally interact (written, telephonic and verbal) with clinical staff internally and externally. Role does not involve review of claims.

Requirements:
2 years acute care experience with an unrestricted Registered Nurse license in Michigan.
ICU/ER preferred should not just be 2 years in a specialized field such as NICU/OB/BH/Substance Abuse
InterQual/MCG or other utilization review experience
Advanced computer skills
40+ WPM typing

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.