- 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
- Henry Ford Health System (Detroit, MI)
- …and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse (RN) with a valid, unrestricted State of Michigan license. + ... Proficiency with computers, electronic health records (EHR), database systems, and utilization review/case management documentation systems. + Knowledge of CMS,… more
- McLaren Health Care (Detroit, MI)
- …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... agencies per Standard Operating Procedure (SOP). **Required** * State licensure as a Registered Nurse (RN) * Bachelor's degree in nursing from accredited… more
- Tenet Healthcare (Detroit, MI)
- …Mgt. Leaders relating to Case Management scope of services, including utilization management , transition management promoting appropriate length of stay, ... and safe and timely patient throughput. Will integrate national standards for utilization management supporting medical necessity and denials prevention. … more
- Molina Healthcare (Detroit, MI)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
- Molina Healthcare (Detroit, 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 (Royal Oak, 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
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition ... and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES : Utilization Management : Balances clinical and financial requirements... experience preferred. 3. License to practice as a Registered Nurse in the 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 (Royal Oak, 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
- McLaren Health Care (Mount Clemens, MI)
- …Nursing * Current State of Michigan RN license * One year of experience as a Registered Nurse /Charge Nurse or Assistant Manager in Surgical Services, OR or ... performance and/or leadership of patient care team members and patient care management staff. Assists in the coordination of patient care through the appropriate… more
- Molina Healthcare (Detroit, 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 (Dearborn, 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
- Tenet Healthcare (Detroit, MI)
- …role REQUIRED CERTIFICATIONS/LICENSURE: Possession of current State License for Registered Nurse . PREFERRED CERTIFICATIONS/LICENSURE: Specialty or Administration ... care at the hospital where program manager services are provided. General Management : 1. Responsible for monitoring the provision of maternal services through all… more