Registered Nurse
Detroitonsite
Posted 106mo ago · via Smartrecruiters
About this role
PRIMARY EMPHASIS The Nurse Analyst is responsible for assessing the medical appropriateness of proposed or performed hospital/medical/surgical services in accordance with established criteria. In some cases, only broad policy exists which will require the incumbent to exercise independent judgement based on sound program and medical practices. The incumbent must also be able to identify unique medical requirements and apply clinical guidelines (Inter-Qual) sound case utilization principles. NATURE AND SCOPE ¿ This position is extremely crucial in the maintenance of uniformity, quality, and consistency of benefit determination, administration, and application of Managed Care Programs. Previous experience involving judgment and decision-making.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Detroit. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
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