- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible ... Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- Trinity Health (Ann Arbor, MI)
- **Employment Type:** Part time **Shift:** **Description:** Exceptional opportunity for a ** Registered Nurse ** to support our vision and serve with us as a ... from a variety of backgrounds because diversity makes us stronger. The RN Registered Nurse Case Manager assumes overall accountability for patients' discharge… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible for… more
- Henry Ford Health System (Detroit, MI)
- …while working in a fun and dynamic environment? Join our team as a Registered Nurse (RN) Case Manager! Who We're Looking For: Passionate, compassionate, and ... **NEWLY ENHANCED PAY RATES** Inpatient Case Management Days (6am to 6pm); Every 5th Weekend...new dyad Social Work/RN Case Manager model and remote utilization review setup, allowing you to excel in your… more
- Trinity Health (Ann Arbor, MI)
- …community. The Clinical Nurse Specialist (CNS) functions as an advanced practice registered nurse (APRN) within three spheres of influence (ie direct patient ... more years of progressively more responsible related work experience. + Current and valid Registered Nurse license and Clinical Nurse Specialist license in… 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
- Trinity Health (Pontiac, MI)
- …to providing comfort, relieving pain, and alleviating anxiety. 3 Conducts a utilization management assessment on a visit basis to facilitate appropriate ... School of Nursing or equivalent. **B.** **Licensure / Certification** Oncology Certified Nurse (OCN), preferred. Current licensure to practice nursing in the State… more
- Fresenius Medical Center (Detroit, MI)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Ciena Healthcare (Novi, MI)
- …hard-working team that values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse , MDS Nurse works the RAI process and ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management...Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications: + Registered Nurse , RN or Licensed Practical … more
- Wayne State University (Detroit, MI)
- …Bachelor's degree Experience Experienced (minimum 2 years of job-related experience) Current Registered Nurse (RN) licensure with the State of Michigan is ... Diabetes Educator and Research Nurse - Internal Medicine Wayne State University is...nutrition, mediation, fitness, sleep, dentition, and stress contexts, including management and monitoring. Coordinate the development, utilization ,… 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
- CTTX Health (Detroit, MI)
- …hospital case management leadership experience preferred. Business planning and project management experience preferred. 3. Registered Nurse or LCSW/LMSW ... of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition … more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. 3. At least 2 years of acute hospital case management experience. 4. Registered Nurse or LCSW/LMSW license; or relevant ... of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition … 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 Primary ... 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
- Trinity Health (Farmington Hills, MI)
- …professional behavior. **MINIMUM QUALIFICATIONS** Must possess a demonstrated knowledge of denial management functions. Registered Nurse and a graduate of ... and managed care. Comprehensive knowledge of and experience in case management and utilization management . In depth knowledge of insurance and governmental… more
- Trinity Health (Farmington Hills, MI)
- …professional behavior. **MINIMUM QUALIFICATIONS** Must possess a demonstrated knowledge of denial management functions. Registered Nurse and a graduate of ... financing and managed care. Knowledge of and experience in case management and utilization management . Knowledge of insurance and governmental programs,… more
- Tenet Healthcare (Detroit, MI)
- RN Traumatic Brain Injury FT Nights Sign-on Bonus Available - 2406001410 Description : The Registered Nurse (RN) is a member of the Patient Care Services Team. ... The Registered Nurse is responsible for the satisfactory...clinical pathways. The RN reports directly to senior unit management , participates in shared decision-making activities and establishes relationships… more
- Trinity Health (Livonia, MI)
- …or the equivalent in experience. Must possess one of the below: + Current Registered Nurse (RN) License + Registered Health Information Administrator (RHIA) ... Health Ministries (HM) in their defined region and day-to-day management of the CDI programs. Works with Director, CDI...to enhance clinical and coding skill sets and optimal utilization of 3M CDI software. Analyzes data to determine… more
- Ciena Healthcare (Ann Arbor, MI)
- …assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . At Ciena Healthcare, we take care ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management...Association of Nursing Assessment Coordinators (AANAC) requirements. **Qualifications** + Registered Nurse (RN) or Licensed Practical … more
- Corewell Health (Farmington Hills, MI)
- …previous nursing home experience. Preferred + Progressive supervisory experience. Required + LIC- Registered Nurse (RN) - STATE_MI State of Michigan required ... quality patient care is provided. Responsible for patient care management , human resource utilization , and the operational...their assigned shift. Essential Functions + Performs limited charge nurse duties. + Conducts rounds on a regular basis… more