- 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The RN , Utilization Management (UM) Nurse 2 utilizes clinical nursing skills to support the ... in Ohio, Illinois or Indiana.** + An Active, unrestricted Registered Nurse ( RN ) license in...Michigan. + One (1) year of previous experience in utilization management /LTSS service authorization. + Two (2)… more
- McLaren Health Care (Yale, MI)
- …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... Procedure (SOP). **Qualifications:** _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's...of acute hospital care experience** _Preferred:_ + Experience in utilization management /case management , critical care,… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) -...for case management scope of services including: Utilization Management supporting medical necessity and denial ... Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a… more
- Trinity Health (Ann Arbor, MI)
- …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
- Trinity Health (Livonia, MI)
- …**Our team is growing** , and we are currently seeking a dedicated full-time or part-time weekend Registered Nurse ( RN ) who has at least one year of high ... in accordance to the organization's policies and procedures. The RN is responsible for the initial assessment and care...an approved nursing education program + Licensure as a Registered Nurse in the State of Michigan… more
- Veterans Affairs, Veterans Health Administration (Iron Mountain, MI)
- …series. For more information, refer to Required Documents below. Responsibilities The Float Registered Nurse ( RN ) is responsible for providing competent, ... 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
- Fresenius Medical Center (Lansing, MI)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. + Assists with implementing… more
- Fresenius Medical Center (Muskegon, 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
- Fresenius Medical Center (Sandusky, MI)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- University of Michigan (Ann Arbor, MI)
- …data, educating patients on symptom management , triaging patient virtually. The Registered Nurse will also observe, interpret patient symptoms and report to ... REGISTERED NURSE (PACS- Patient Monitoring at...Nurse Recruitment at ###. **Required Qualifications + Current RN license in the state of Michigan + Two… 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
- 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] ... and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a valid, unrestricted State of Michigan… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Part-Time Registered Nurse ( RN ) for the CLC, aligned under Patient Care Services, located ... and coaching on wellness, disease prevention, and chronic care management . Assists in directing the provision of nursing education,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- ChenMed (Detroit, MI)
- …We're rapidly expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic triage directional ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …availability will be variable based on staffing needs. What Will You Do? As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes ... skills to ultimately help participants live in a more independent setting. RN Shifts available for pick up are 12 hours, 9am-9pm, Monday-Sunday. Shift… more
- Henry Ford Health System (Warren, MI)
- …screening criteria and critical thinking to maximize reimbursement. EDUCATION/EXPERIENCE REQUIRED: + Registered Nurse required. + Minimum 3-5 years of clinical ... required. + Bachelor of Science Nursing required OR four (4) years Case Management / Appeal/ Utilization Management experience in lieu of bachelor's degree.… more
- Corewell Health (Grand Rapids, MI)
- …clinical nursing and or case management /managed care or related field Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... the state of Michigan. Manage all components of referral management , admission waiting list, insurance prior authorizations, continuous stay...within 7 years for those who start in this RN role on or after January 1, 2017 (Spectrum… more
- Molina Healthcare (Detroit, MI)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports… more
- CVS Health (Lansing, MI)
- …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal… more