Registered Nurse – Review Analyst | Remote | Contract

Walker Healthforce is seeking a Registered Nurse – Review Analyst with 2–4 years of clinical experience to provide clinical utilization reviews, evaluate medical necessity, and support appropriate healthcare service determinations. This is a Contract opportunity.

Start Date: ASAP

Location: Remote – Work from Home

Hours/Schedule: Monday-Friday, 40 hours

Worker Type: W2

Core Requirements:

• 2–4 years of clinical experience in acute patient care, discharge planning, case management, or utilization review.

• Current, unrestricted Michigan Registered Nurse (RN) license.

• Demonstrated clinical knowledge of patient care and healthcare delivery processes.

• Ability to assess medical necessity, length of stay, intensity of services, and appropriate levels of care.

• Strong clinical assessment and documentation review skills.

We Consider It A Bonus If You Also Have:

• Bachelor's degree in nursing, allied health, business, or related field.

• One (1) year of health insurance plan or managed care experience.

• Certification in Case Management.

• Experience with discharge planning, case management, and utilization review.

Job Responsibilities:

• Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary healthcare services.

• Evaluate medical necessity and appropriate levels of care.

• Assess length of stay and intensity of healthcare services.

• Review appeal requests submitted by providers, facilities, and members.

• Support care planning and coordination across the healthcare continuum.

• Conduct member outreach assessments when applicable.

What We Offer:

• Competitive compensation package

• Weekly pay via Direct Deposit

• Medical, Dental & Vision available

• 401k options

Why Work With Walker?

• Access to our top ranked team of recruiting and placement specialists

• Continuous, one-on-one support from a dedicated engagement manager

• Professional resume development and interview preparation

Contact our Recruiting Team today to experience the Walker Healthforce difference!

About Us:

Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment.