This job board retrieves part of its jobs from: Toronto Jobs | Emplois Montréal | IT Jobs Canada

Every day new job offers in the State of Michigan!

To post a job, login or create an account |  Post a Job

A Line Staffing Solutions: Concurrent Review Nurse – Remote

A Line Staffing Solutions

This is a Full-time position in Detroit, MI posted November 18, 2021.

Job Description Now hiring for a Top Healthcare / Managed Care company located near Detroit, MI (work from home/remote) w hom are in need of an experienced Concurrent Review Nurse to become a part of the team, for an remote/work from home position to start but will return to in office once safe to return.

Please apply directly for consideration.

Damian Sroka / dsrokaalinestaffing.Com / Text: (847) 220-5241 Position will be remote or work from home Must Live in Michigan Pay/Hours: Pay Rate: $36.00 to $40.00 per hour (possible pay increase after 90 days) Hours: Full time – Monday Friday 40 hour 6:00 a.M.

6:00 p.M.

(8 hour shift) Job Description:.

Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care Conduct discharge planning Educate providers on utilization and medical management processes Requirements: Education/Experience: Graduate from an Accredited School of Nursing.

Bachelors degree in Nursing preferred.

Knowledge of healthcare and managed care preferred .Licenses/Certifications: Current State LPN/LVN or RN license0-2 years of experience Why Apply: Company Benefits Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability 401k after 1 year of employment: With employer match and profit sharing GREAT Hours Full-Time Monday through Friday, 40 hours per week – Overtime available paying time and a half over 40 hours worked.

Competitive Pay Rate With possible pay increases after 90 days of employment.

Work Life Balance Growth Potential Please contact Damian Sroka by applying directly for consideration or emailing resume to dsrokaalinestaffing.Com / Text: (847) 220-5241 Managed Care, Health Plan, Health Insurance, Case Manager, Care Manager, Utilization Review, Utilization Management, STARS, HEDIS, Complex Case Management, CCM, Certified Case Manager, NCQA, URAC, CMS, Medicare, Medicaid, HMO, RN, BSN, MSN, Registered Nurse, Quality Assurance, Quality Improvement