Title: Registered Nurse/ RN

Work Location: Detroit, MI, 48243

Duration: 10+ Months

Job Type: Contract

Work Type: Remote

Dept: MA Post-Acute Care UM

Pay Rate: $36.00-$36.00/Hourly

Overview:

TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Job Description:

Top 3 Required Skills/Experience:

• Strong Clinical Background - Ability to critically evaluate clinical data and medical records to ensure accuracy and compliance with utilization management/clinical decision support for Medicare Advantage member
• Attention to detail and organization skills - Reviewing the medical documents across multiple programs.
• Advanced Computer Skills - Proficiency in using various software tools and platforms for data analysis and reporting

Required Skills/Experience – The rest of the required skills/experience. Include:

• Certification in Case Management or Utilization Review - experience in the review process for post acute care settings ie Skilled Nursing Facility, Long Term Acute Care and / or Home Health Care.
• Time Management Skill - Ability to manage multiple reviews and meet deadlines in a fast-paced environment.
• Advanced Computer Skills – experience with various software tools, Microsoft Office and utilization of multiple monitors with WPM at minimum of 45-50.

Education/Certifications – Include:

• State of Michigan RN License, Associates or higher.

TekWissen® Group is an equal opportunity employer supporting workforce diversity.