Location: Detroit, MI/Remote
Duration: 6-12 months with possible extension
Shift: 8am-5pm EST (Mon-Fri)
Note - (The client prefers local candidates based in Detroit, MI. In the event of technical issues—such as a non-functional computer, the candidate may be required to work onsite or visit the office to resolve the issue.)
Description:
The RN Analyst Reviewer role encompasses the processing of inpatient admission requests utilizing InterQual criteria to determine the medical necessity of an inpatient status. The RN Review Analyst will perform admission approvals, admission denials per MD decision, telephone triage, and benefit interpretation.
Required Skills/Experience:
- Two (2) to four (4) years patient care experience which may include acute patient care, discharge planning, case management, utilization review, etc.
- Expertise in the use of medical terminology
- Familiar with Microsoft Office Suite including Teams
Preferred Skills/Experience – Optional but preferred skills/experience. Include:
- Prior post-acute patient care experience
- Triage, case management or utilization review experience
- InterQual knowledge
- Experience with Clinical Care Advance
Education/Certifications – Include:
- Associate’s degree or Nursing Diploma
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, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws
