• Pre - Authorization

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 work assignments...to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in the state of… more
    Humana (07/16/25)
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  • Ops-UM Training Specialist

    Integra Partners (Troy, MI)
    …design individual training plans to help improve employee performance EDUCATION: + Registered Nurse (RN) certification from an accredited nursing program ... Integra Partners is seeking an experienced nurse educator to join our Operations Training &...experience with Utilization Management within the healthcare industry, including pre - authorization and utilization reviews, along with medical… more
    Integra Partners (06/03/25)
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  • Clinical Care Transition Specialist / RN

    Option Care Health (Detroit, MI)
    …scheduling, performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse (RN) or licensed Pharmacist in the state ... effective treatment plan. + Responsible for collecting, reviewing and completing pre -admission information and securing related signoff. + Partners with Account… more
    Option Care Health (07/11/25)
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