- Cognizant (Lansing, MI)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- McLaren Health Care (Port Huron, MI)
- …duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in nursing from accredited ... experience with an acute care hospital **Preferred:** ⦁ Experience in utilization management/case management, critical care, clinical documentation, or patient… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
- CVS Health (Lansing, MI)
- …members. **Position Summary** Join our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment and evidence-based criteria to ... shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum… more
- Fresenius Medical Center (Muskegon, MI)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Fresenius Medical Center (Sandusky, MI)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse (RN) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... Acute hospital case management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan. 4. Accredited Case Manager… more
- Henry Ford Health System (Detroit, MI)
- The Certified Registered Nurse Anesthetist (CRNA) Manager is a Certified Registered Nurse Anesthetist who ensures the delivery of safe anesthetic patient ... activities in accordance with regulatory and accrediting organizations. . Hires certified registered nurse anesthetists for the department. Accepts input on… more
- Munson Healthcare (Traverse City, MI)
- …for details about Munson Healthcare benefits! Requirements + Must hold a current Registered Nurse license in the State of Michigan. + 2 Years ... and human resource data to support decision-making, which maximizes resource utilization . + Facilitates and empowers registered nurses to assume accountability… more
- McLaren Health Care (Grand Blanc, MI)
- … clinical documentation, or utilization review experience + Five years of clinical nurse experience in an acute care setting + American Case Management ... role, responsibilities tools, and methodologies. _Required:_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in nursing from accredited… more
- Veterans Affairs, Veterans Health Administration (Saginaw, MI)
- …For more information, refer to Required Documents below This job announcement is for a Registered Nurse - Patient Aligned Care Team at the Aleda E. Lutz VA ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Veterans Affairs, Veterans Health Administration (Iron Mountain, MI)
- …For more information, refer to Required Documents below. Responsibilities The Float Registered Nurse (RN) is responsible for providing competent, evidence-based ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse (RN) with active licensure + Minimum [number] years ... and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse (RN) with a valid, unrestricted State of Michigan license. +… more
- ChenMed (Detroit, MI)
- …We're rapidly expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage directional ... on-call coverage, the incumbent in this role provides remote clinical advice and assessments within license and as possible...license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and… 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' ... plans while assuming a leadership role in achieving desired clinical , financial and resource utilization outcomes. +...through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for… more
- McLaren Health Care (Pontiac, MI)
- …duties as required and directed. #LI-AK1 _Required_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in nursing from accredited educational ... to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. Reviews current… more
- Molina Healthcare (MI)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support...hearings as may be required. * Serves as a clinical resource for utilization management, chief medical… more
- McLaren Health Care (Detroit, MI)
- …Variable **Scheduled Bi-Weekly Hours:** Variable **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the ... accredited school of nursing + Current State of MIchigan Registered Nurse license + BCLS certification from...Bachelor's of Science in Nursing preferred + Oncology experience preferred + One year experience in department clinical specialty… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …are honored to be a part of this incredible work. What Will You Do? As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes in the ... health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers who witness the… more