Care Review Clinician

Are you an experienced Registered Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities:

• Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures

• Participates in interdepartmental integration and collaboration to enhance the continuity of care for members including Behavioral Health and Long Term Care

• Providing utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare

Hours for this Position:

• Mon-Fri 8:30am-5pm

Qualifications/ Requirements:

• Utilization Review background in either Managed Care of Provider environment (at least one year)

• Interqual experience (at least one year)

• Registered Nurse in the state of Michigan

Interested in hearing more about this great opportunity? Reach out to Michael Grifon at HealthCare Support Staffing for IMMEDIATE, SAME-DAY consideration. Interviews are being held THIS WEEK and immediate offers will be extended. Click I'M INTERESTED for more information; we look forward to hearing for you!