- McLaren Health Care (Pontiac, MI)
- …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in nursing from accredited educational ... requirements _Preferred:_ + Bachelor's degree in nursing + Experience in utilization management /case management /clinical documentation, critical care, or… more
- Trinity Health (Ann Arbor, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** + The Registered Nurse Case Manager assumes overall accountability for patients' ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for… more
- Molina Healthcare (Sterling Heights, MI)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- Sysco (Canton, MI)
- …application + Case Management in Workers' Compensation **Licenses/Certifications:** + Licensed Registered Nurse in State of Residence. License must be active ... fit for duty through injury prevention, employee wellness, case management , and process improvement that significantly impacts EHS's bottom-line...and unencumbered. + Licensed Registered Nurse in States within the area… more
- Trinity Health (Livonia, MI)
- …Qualifications:** + Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have ... Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction.… more
- Hospice of Michigan (Southfield, MI)
- …CARE Model of Service: courtesy, acknowledgement, response and empathy. Qualifications: + Registered Nurse with a baccalaureate degree in nursing, preferably a ... hospice & palliative care quality reporting, patient care, safety, risk management , infection control, outcomes and customer satisfaction. + Works collaboratively… more
- Henry Ford Health System (Troy, MI)
- REGISTERED NURSE CLIENT FOCUSED CASE MANAGER...in Case Management required. * Experience in Utilization Management preferred. * Experience in Health ... independently in a fast-paced environment. Dependent on volume, the Client Focused Case Management Nurse may also be responsible for handling case management… more
- Corewell Health (Farmington Hills, MI)
- …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... managing a case load of patients that includes facilitating utilization management , and/or care coordination during the... review, home care and/or discharge planning. Preferred + Registered Nurse (RN) - State of Michigan… more
- Corewell Health (Southfield, MI)
- …to inpatient adult, pediatrics and critical care, emergency and urgent care. Required + Registered Nurse (RN) - State of Michigan Upon Hire required How Corewell ... and transfers based on urgency of patient's condition and utilization of available beds. + Plan, prioritize and direct...use of EPIC applications as they pertain to Bed Management . + Delegate tasks as indicated for patient placement.… more
- Hospice of Michigan (Southfield, MI)
- …school of nursing with a current license to practice in State of Michigan as a Registered Nurse . Must have the ability to be licensed as a Registered ... business and patient care outcomes. Collaborates extensively with staff and management from multiple departments and organizations to achieve outcomes. + Assists… more
- Corewell Health (Troy, MI)
- …required. Nurse Practitioner Candidate: + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State ... you join our team at Corewell Health. Job Summary Responsible for the management of reporting APPs and APP supervisors including all activities related to direct… more
- AmeriHealth Caritas (Southfield, MI)
- …in Nursing required. Bachelor of Science in Nursing preferred. + Current and unrestricted Registered Nurse licensure.; + 3+ years of clinical experience at the ... accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. + Monitor appropriate utilization...bedside (as a Registered Nurse ) working with medically fragile patients… more
- Molina Healthcare (Sterling Heights, MI)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be… more
- Corewell Health (Royal Oak, MI)
- …coordinating patient discharge planning for post-acute services, length of stay (LOS) management and utilization management ; collaborating to include ... in Nursing + 3 years of relevant experience nursing experience Required + Registered Nurse (RN) - State of Michigan Upon Hire required + Basic Life Support… more
- Trinity Health (Ann Arbor, MI)
- …Practitioner Program with emphasis on area of certification/licensure. **NP Licensure** : Current Registered Nurse and Acute Care Nurse Practitioner license ... managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the NP/PA… more
- Corewell Health (Southfield, MI)
- …in healthcare or related field + 2 years of relevant Nursing experience + LIC- Registered Nurse (RN) - State of Michigan upon hire Preferred + Bachelor's ... stakeholders. Also ensures continuity and coordination of services with appropriate utilization of resources. Responsible for stakeholder management across… more
- Corewell Health (Southfield, MI)
- …Preferred + 1 year of experience with participation on improvement initiatives + LIC- Registered Nurse (RN) - State of Michigan clinical licensure About Corewell ... stakeholders. Also ensures continuity and coordination of services with appropriate utilization of resources. Responsible for stakeholder management across… more
- Hospice of Michigan (Southfield, MI)
- …Qualifications: + Bachelor of Science in Nursing preferred. Current State of Michigan Registered Nurse (RN) license in good standing is required. + Advanced ... practice. + Utilizes diverse teaching strategies to engage learners, including utilization of adult learning principles. + Demonstrates, maintains competency &… more