W3R Consulting Inc.

Compensation

Full Description

Job Title: Nurse Case Management Senior Analyst Client: Health Insurance Contract Duration: January 2026 – June 2026 (contract-to-hire) Location: Fully remote – Work from Home (candidates must be located in IL, TX, NM, OK, MT, or TN) Looking for RNs with case management and utilization management experience. Description: • Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. • Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. • Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members. • Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. • Provides clinical assessments, health education, and utilization management to members. • Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services. Manages own caseload and coordinates all assigned cases. • Completes day-to-day Nurse Case Management tasks without immediate supervision, but has ready access to advice from more experienced team members. • Tasks involve a degree of forward planning and anticipation of needs/issues. • Resolves non-routine issues escalated from more junior team members. Required Qualification • RN and current unrestricted nursing license required. Company DescriptionW3R Consulting is a Michigan-based staffing and consulting firm that provides talent, technology consulting, and advanced analytics solutions to Fortune 500 companies in the automotive, financial, healthcare, insurance, professional and business services, and retail industries.