Jobless Developer
Integrated Resources INC logo

Posted 113 months ago

Open

Care Review Clinician

Troy, MI, United StatesRemoteContract

AI Summary

Contract Care Review Clinician in Troy, MI reviews inpatient utilization cases, assesses medical necessity using UM software, coordinates with medical directors and hospitals from admission through discharge.

About this role

Care Review Clinician

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Location: Troy, MI

Shift: M-F 8:30 am to 5 pm

Duties:

Will be an inpatient UM, get cases from hospitals, review info about patient, enter info into computer system (interqual, or MCG) determine if it meets criteria, work with medical director for approval, notify Hospital of approval. Follow members from admission process all the way through to discharge, find discharge plan and where patient is being discharged to.

Top 3 Skills:
Strong Communication both verbal and written
Attention to detail
Computer skills

Qualifications

Must Haves:
UM experience
Computer skills
Licensed RN in the state of Michigan.

Nice to Have:
Familiar with interqual or MCG software

Additional Information

Kind Regards,

Kavita Kumari

Clinical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

DIRECT # - 732-844-8726

Skills

Case ReviewClinical DocumentationElectronic Health RecordsHospital Discharge PlanningInterqualMCGRN License MichiganUtilization Management

Explore related jobs

Browse these categories