- Corewell Health (Grand Rapids, MI)
- …clinical nursing and or case management /managed care or related field Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... Thursday, Friday (4 hours), mostly remote, occasional on-site About the Department: RN UM - Supporting the insurance coordination functions for the Helen DeVos… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …availability will be variable based on staffing needs. What Will You Do? As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes ... skills to ultimately help participants live in a more independent setting. RN Shifts available for pick up are 12 hours, 9am-9pm, Monday-Sunday. Shift… more
- Molina Healthcare (Grand Rapids, MI)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports… more
- CenterWell (Grand Rapids, MI)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... on-site at our** **Grand Rapids, MI** **branch location.** The ** RN Clinical Manager** coordinates and oversees all direct care...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Molina Healthcare (Grand Rapids, MI)
- For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This role will be doing Utilization review for ... to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Corewell Health (Grand Rapids, MI)
- …+ Associates in Nursing Required + Bachelors in Nursing Required within 5 years + MI Registered Nurse ( RN ) Required + CRT-Basic Life Support (BLS) - AHA ... $10 per hour plus their base pay. If the RN is a full-time (3)12s a week RN...the opportunity to build a strong foundation in time management and develop their critical thinking skills in non-ICU… more
- Corewell Health (Grand Rapids, MI)
- …+ Associates in Nursing Required + Bachelors in Nursing Required within 5 years + MI Registered Nurse ( RN ) Required + CRT-Basic Life Support (BLS) - AHA ... $10 per hour plus their base pay. If the RN is a full-time (3)12s a week RN...disorders. 6 Heart nurses are skilled in peritoneal dialysis, utilization of Endotool for continuous insulin drip management… more
- Molina Healthcare (Grand Rapids, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
- Molina Healthcare (Grand Rapids, MI)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Molina Healthcare (Grand Rapids, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical...member care. The candidate must have Medicare Appeals and/or Utilization Management knowledge. Work hours are Monday-Friday… more
- Molina Healthcare (Grand Rapids, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for clinical member services review...to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required… more
- Corewell Health (Grand Rapids, MI)
- …+ Associates in Nursing Required + Bachelors in Nursing Required within 5 years + MI Registered Nurse ( RN ) Required + AHA or ARC Basic Life Support (BLS) ... of our patient population is typically related to diabetes management , complications due to high blood pressure, Covid 19,...on the unit to it less overwhelming for the nurse ." "I never feel alone on this unit. It's… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …Pine Rest (https://www.pinerest.org/inpatient-services/services/older-adult-inpatient-services/) What Will You Do? As a Registered Nurse at Pine Rest, you'll be ... for dementia, depression and anxiety, as well as medication management . Families often suffer along with their older relatives,...the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing… more
- Molina Healthcare (Grand Rapids, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …Pine Rest (https://www.pinerest.org/addiction/treatments/inpatient-treatment-for-dual-diagnosis/) What Will You Do? As a Registered Nurse at Pine Rest, you'll be ... team that believes in the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing process as a basis for… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …workplace. Principal Duties and Responsibilities: + Works in collaboration with an unrestricted Registered Nurse to provide care to person's served in a dyad ... 90-180 days. What Will You Do? As a Graduate Nurse ( RN ) at Pine Rest, you'll be...the teaching of persons' served families, and provides milieu management . Communicates with and educates persons' served families/significant others… more
- Trinity Health (Grand Rapids, MI)
- …or other health related field preferred. + Current Michigan license as a Registered Nurse + Basic Cardiac Life Support (BCLS) Certification. Obtain Advanced ... problem solving of unit or organizational issues. **Preferred:** Understanding of Utilization Management and Process Improvement concepts preferred **What you… more
- Molina Healthcare (Grand Rapids, MI)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative...years in one or more of the following areas: utilization management , care management , care… more
- Molina Healthcare (Grand Rapids, MI)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... external vendors. * Focuses on process improvement, organizational change management , program management and other processes relative...years in one or more of the following areas: utilization management , care management , care… more