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Insurance Nurse Reviewer Jobs in Michigan (NOW HIRING)

Biomed Behavioral Health Services

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LPN Staff Nurse

Roseville, MI · On-site

$24 - $27/hr

Review patient charts for current monthly activity and document. * Insure nursing station is properly maintained. Job Requirements: * Weekday hours 4:30am - 1:30 pm; Work every other Saturday 5:30 am ...

ICONMA

Registered Nurse-Review Analys

Detroit, MI · On-site

Our client, a Health Insurance company, is looking for a Registered Nurse-Review Analyst for their Detroit, MI location. Responsibilities: * Perform prospective, concurrent and retrospective review ...

KYYBA

RN Review Analyst

Detroit, MI · On-site

$36 - $38/hr

Remote RN Review Analyst Location: 100% Remote Duration: 12+ Months License Required: Michigan ... health insurance plan experience or managed care environment preferred. 5. One (1) year of ...

Medix

Utilization Review Nurse

Southfield, MI · On-site

$42 - $46/hr

Job Summary Our client is seeking a Utilization Review Nurse to manage the full lifecycle of ... Term Life Insurance Plan. * We will consider for employment all qualified Applicants, including ...

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All JobsInsurance Nurse Reviewer JobsInsurance Nurse Reviewer Jobs in Michigan

Insurance Nurse Reviewer information

See Michigan salary details

$24

$32

$37

How much do insurance nurse reviewer jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for insurance nurse reviewer in Michigan is $32.28, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $36.06 per hour, depending on experience, location, and employer.

What is an insurance nurse reviewer?

An Insurance Nurse Reviewer is a licensed nurse who evaluates medical claims to ensure they meet policy guidelines and medical necessity. They review patient records, treatment plans, and healthcare provider documentation to determine coverage eligibility. Their role helps insurance companies manage costs while ensuring patients receive appropriate care. Strong clinical knowledge and attention to detail are essential for assessing claims accurately.

What does an insurance nurse reviewer do?

On a typical day, an Insurance Nurse Reviewer spends much of their time reviewing patient medical records, evaluating insurance claims for medical necessity, and documenting their findings in detail. The role often involves collaborating with physicians, case managers, and adjusters to clarify information or seek additional insights when necessary. You may also participate in team meetings to discuss complex cases, ensure adherence to regulatory standards, and stay current with evolving policies. The work is largely independent but requires strong communication skills and a systematic approach to managing multiple cases effectively.

What are the key skills and qualifications needed to thrive as an insurance nurse reviewer?

To thrive as an Insurance Nurse Reviewer, you need a current nursing license, clinical experience, and a strong understanding of medical terminology and claims review processes. Familiarity with utilization review software, health insurance claims systems, and URAC or CM certification is often required. Attention to detail, critical thinking, and effective written and verbal communication skills help you excel in this position. These qualifications and abilities are vital for accurately evaluating medical records, ensuring compliance, and making informed decisions regarding healthcare coverage.

What are popular job titles related to Insurance Nurse Reviewer jobs in Michigan?

For Insurance Nurse Reviewer jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Insurance Nurse Reviewer jobs in Michigan look for?

The top searched job categories for Insurance Nurse Reviewer jobs in Michigan are:

Insurance Nurse Reviewer jobs near you
Infographic showing various Insurance Nurse Reviewer job openings in Michigan as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 70% In-person, 12% Hybrid, and 18% Remote job distribution, with an average salary of $67,142 per year, or $32.3 per hour.

LPN Staff Nurse

Biomed Behavioral Health Services

Roseville, MI • On-site

$24 - $27/hr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 16 days ago

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Job description

Job Description:

LPNs only!

  • Assess patients and dispense accurate medication amounts.
  • Maintain accurate medication records to comply with DEA regulations.
  • Enter verbal orders in electronic record.
  • Log medication discrepancies as needed.
  • Update records regarding certain prescriptions and OTC medications that patients are taking.
  • Provide brief nursing assessments on new intakes.
  • Administer TB skin tests annually.
  • Perform monthly nurse assessments on all patients and any new intakes.
  • Calibrate pumps on a weekly basis.
  • Review patient charts for current monthly activity and document.
  • Insure nursing station is properly maintained.

Job Requirements:

  • Weekday hours 4:30am - 1:30 pm; Work every other Saturday 5:30 am - 9:30 am
  • Current State of Michigan License required (LPN's only).
  • Minimum of 1 year nursing experience preferred.
  • Key competencies include: analytical, nursing assessment skills, problem solving, diligence, planning, excellent communication skills, collaborative style (team player a must)
  • Punctuality
  • Reliability
  • High level attention to detail
  • Effective interpersonal and written communication skills required
  • Confidence with “can do” attitude
  • Customer focused
  • Ability to work independently and meet deadlines

Company Description

BioMed Behavioral Health Services is a leader in providing professional, competent and compassionate services to help chemically dependent individuals with co-occurring disorders related to behavioral health attain and maintain their highest possible functioning capacity. Started in 1999, the vision of the program is to provide innovative, comprehensive services that promote maximum patient rehabilitation resulting in them being productive members of the community capable of managing their lives in a positive manner.