ZipRecruiter

Log In

OpTech

OpTech

53 jobs near Columbus, OH

OpTech LLC

RN Precertification Analyst

Detroit, MI · On-site

Detroit, MI Registered Nurse (RN) Contract We are seeking a Michigan RN - Remote Utilization Management: Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory ...

OpTech LLC

RN Utilization Management

Detroit, MI · On-site

Detroit, Michigan Registered Nurse (RN) Contract We are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan. Perform prospective, concurrent and retrospective review ...

OpTech LLC

Physical Therapist - Inpatient

Detroit, MI · On-site

$1.6K - $2.1K/wk

Detroit, MI Other Area(s) Contract Title : Physical Therapist - Inpatient Location: Onsite - Detroit, MI Shift Hours • 10- hour shift; start time negotiable Schedule Notes • Candidate must have ...

OpTech LLC

Informatica Administrator

Frisco, TX · On-site

$49.75 - $65.50/hr

Frisco, Texas Database Administrators Contract-HU Job Overview We are seeking a skilled Informatica IDMC Administrator to manage and support our Informatica Intelligent Data Management Cloud (IDMC ...

OpTech LLC

Digitial Analsyt

Detroit, MI · On-site

$97K - $115K/yr

Detroit, Michigan Analyst Contract We are seeking a Digital Analyst in the Detroit metro area to support a healthcare technology team responsible for complex, data-driven digital solutions. This role ...

OpTech LLC

Healthcare Business Analyst

Detroit, MI · On-site

Detroit, Michigan Business Analyst Contract We are looking for a Business Analyst with PM experience for a healthcare payer company. This is hybrid in metro Detroit MI. Engagement Description ...

previous page

Showing results 41-53

RN Precertification Analyst

OpTech LLC

Detroit, MI • On-site

Full-time

Retirement

Posted 7 days ago

Job description

Detroit, MI
Registered Nurse (RN)
Contract
We are seeking a Michigan RN - Remote Utilization Management:
Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. May establish care plans and coordinate care through the health care continuum including member outreach assessments.
Requirements:
  • RN - unrestricted Michigan Registered Nurse license required
  • 2-4 years of clinical experience - acute patient care, discharge planning, case management, and utilization review
  • Clinical experience in ICU, ER, or medical surgical unit preferred .
  • Utilization management experience preferred
  • 1 year health insurance plan experience or managed care environment preferred.
  • Computer - MS Office, Type 35+WPM, Dual monitors, multiple systems
  • Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes.

Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/

Apply