ICONMA

- InterQual or Utilization review experience. - Case Management or MDS experience. Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation.. May be required to enter or reference data via PC and/or CRT terminal.. Triage, case management and/or utilization review experience preferred.

registered nurse

Registered Nurse-Review Analyst Location: Detroit, MI Duration: 5 months Top Criteria: - Good computer skills - InterQual or Utilization review experience - Case Management or MDS experience Responsible for the approval or rejection of claims, admissions approvals, telephone triage, and/or benefit interpretation. May be required to enter or reference data via PC and/or CRT terminal. Other related skills may be required to perform this job. Requirements: Associate Degree or nursing diploma required. Two (2) years patient care experience. Triage, case management and/or utilization review experience preferred. Expertise in the use of medical terminology. InterQual knowledge preferred.

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