Utilization Review Nurse Job at LanceSoft, Michigan Center, MI

L0JYL0pxQlhaNDVsRWdsdUllSm1LbWFrQVE9PQ==
  • LanceSoft
  • Michigan Center, MI

Job Description

Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously. The candidate should be well versed in coordination of care activities along with discharge planning which is a plus for this role in ensuring members are transitioned safely following care. In addition, the candidate should have knowledge of post-acute InterQual criteria that is utilized in this role. Requirements: Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes. One 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. Above average computer skills Clinical experience in ICU, ER, or medical surgical unit preferred. LanceSoft

Job Tags

Remote work,

Similar Jobs

Boeing

Senior Software Engineer Job at Boeing

 ...Job Description Job Description At Boeing, we innovate and collaborate to make the world a better place. Were committed to fostering...  ...professional growth. Find your future with us. The Boeing Company is looking for a Senior Software Engineer to join the... 

Zuba's Home Solution's

Construction Laborer Job at Zuba's Home Solution's

Job Description Job Description Looking for reliable labor workers to help contractors start and finish jobsKnowledge of painting,drywall,tile,decks,flooring

Essentia Health

CNA/RA - Resident Assistant (Casual) - Assisted Living Job at Essentia Health

 ...Assistant or Resident Assistant to serve at Prairie Pines, Essentia Health's assisted living facility in Fosston, Minnesota. This RA or CNA works on a casual, as-needed basis, picking up shifts to support time off, call-ins, and staffing shortages. The ideal candidate can... 

Disability Solutions

Private Banking Relationship Manager Job at Disability Solutions

 ...responsibility of this position is to provide financial guidance and relationship management for...  ...members and relationship teams (Wealth Advisors, PM's, FA's, FMC LO's, other PB's, FFA...  ...opportunity for all qualified persons. Fulton will recruit, hire, train and promote... 

HEI Hotels & Resorts

Room Attendant Job at HEI Hotels & Resorts

 ...Maintain the hotel rooms and building to ensure safe and clean experience for hotel guests, associates, and vendors. Essential Duties...  .... Clean bathtub, toilet, sink, walls, mirrors, tiles, counters, and floor surfaces using cloths, Room Attendant, Attendant, Cleaning...