Utilization review Nurse

This a Full Remote job, the offer is available from: Michigan (USA) 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. This offer from "LanceSoft, Inc." has been enriched by Jobgether.com and got a 72% flex score. Apply Job!