Match score not available

Unlock Premium Benefits Today!
🚀 Elevate your career with priority access.
Stand out to top recruiters with Jobgether Priority Access:
  • ✅ Top Match: We help you identify job offers where you're a perfect fit.
  • ✅ Exclusive Referral Service: Connect directly with recruiters as a Jobgether Certified Premium User.
  • ✅ Personalized Feedback: Receive feedback and expert guidance on applications, and have your profile manually reviewed.

Start Your Free Trial Now!

Start my free trial

Utilzation Review

Remote: 
Full Remote
Work from: 
Michigan (USA)

Offer summary

Qualifications:

Valid MI RN License, Utilization management experience, Experience in post-acute settings.

Key responsabilities:

  • Conducting post-acute reviews
  • Coordinating care and discharge planning
LanceSoft, Inc. logo
LanceSoft, Inc. XLarge https://www.lancesoft.com/
5001 - 10000 Employees
About LanceSoft, Inc.
Established in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele. As a Certified MBE and Woman-Owned organization, we pride ourselves on fostering global cross-cultural connections that advance both the careers of our employees and the success of our clients' businesses. At LanceSoft, our mission is clear: to leverage our global network to seamlessly connect businesses with the right talent and individuals with the right opportunities, all without bias. We believe in providing Global Workforce Solutions with a personalized, human touch. Our comprehensive range of services spans various domains, encompassing temporary and permanent staffing, Statement of Work (SOW) arrangements, payrolling, Recruitment Process Outsourcing (RPO), application design and development, program/project management, and engineering solutions. Currently, our team of over 5,000 professionals caters to 110+ enterprise clients worldwide, including Fortune companies. Our client base represents a diverse spectrum of industries, including Banking & Financial Services, Semiconductor/VLSI, Technology, Healthcare & Life Sciences, Government, Telecom & Media, Retail & Distribution, Oil & Gas, and Energy & Utilities. Headquartered in Herndon, VA, LanceSoft operates 32+ regional offices across the North America, Europe, Asia, and Australia. We also have nine delivery centers strategically located in India in Bangalore, Indore, Noida, Baroda, Hyderabad, Bhubaneshwar, Dehradun, Goa, and Aligarh to further enhance our client service capabilities.
See more LanceSoft, Inc. offers

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.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Discharge PlanningCare CoordinationClinical AssessmentsUtilization ManagementInterQual Criteria
Are you interested?

Related jobs

See more jobs