Telecommunication Rates Analyst jobs in Detroit, MI

EDUCATION/EXPERIENCE REQUIRED:

• Associate's degree in nursing.
• Bachelor's degree preferred. 
• Three (3) years of acute care nursing experience.
• Experience in case management preferred.
• Current sound clinical knowledge, knowledge of medical literature, research methodology, and health care financial/reimbursement issues.
• Strong collaboration, communication, and interpersonal skills.
• Excellent organization and time management skills.
• Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. 
• Desire to work collaboratively and proactively with healthcare teams and other hospital-based interdisciplinary teams.
• Knowledge of CMS, commercial payer requirements and hospital financial/ reimbursement processes desired.
• Excellent written/verbal communication skills, critical thinking skills, creative problem-solving skills, good organization and planning skills.
• Must be self-directed, have the ability tolerate frequent interruption and work in a fast-paced work environment. 

CERTIFICATIONS/LICENSURES REQUIRED:

• Registered Nurse (RN) with a valid, unrestricted State of Michigan license required. 
• BLS required.
• Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred.

• Organization: Henry Ford Hospital - Detroit Main Campus
• Department: Inpatient Case Management