- Integra Partners (Troy, MI)
- …other duties as assigned EDUCATION: Active, Licensed Vocational Nurse , or Licensed Practical Nurse license EXPERIENCE: + Minimum of 3 years of ... Integra is looking for a LPN /LVN experienced in the managed care payor environment...managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will… more
- Henry Ford Health System (Troy, MI)
- …+ Excellent verbal and written communication skills preferred. CERTIFICATIONS/LICENSURES REQUIRED: + Licensed Practical Nurse - LPN preferred. + ... manager to provide administrative, operational, and organizational support for the Utilization Management teams. PRINCIPLE DUTIES AND RESPONSIBILITIES: +… more
- Select Medical (Pontiac, MI)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...**Current licensure in a clinical discipline either as a Nurse (RN / LPN / LVN)or a Respiratory Therapist… more
- Molina Healthcare (Sterling Heights, MI)
- …of relevant education and experience. + Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ). The license must be active and ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint… more
- Molina Healthcare (Sterling Heights, MI)
- …experience. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse ( LPN ), Advanced Practice Social Worker (APSW), ... years in one or more of the following areas: utilization management , care management , care...Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical… more