- 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 + ... in the state of Michigan. Manage all components of referral management , admission waiting list, insurance prior...within 7 years for those who start in this RN role on or after January 1, 2017 (Spectrum… 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
- 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, ... vacancies have been filled. The initial cut-off date for referral of eligible applications will be October 10, 2025....level degree in Nursing may have opportunity to become registered as a nurse with a state… 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
- 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
- CVS Health (Lansing, MI)
- …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... care/treatment. + Identifies members who may benefit from care management programs and facilitates referral . + Identifies...within the mental health system. + Previous experience with utilization management . + Ability to collaborate with… more
- CVS Health (Lansing, MI)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
- Corewell Health (Royal Oak, MI)
- … management , utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire required ... in the country. It is a major academic and referral center with Level I adult and Level II...and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning,… more
- CenterWell (Grand Rapids, MI)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... on-site at our** **Grand Rapids, MI** **branch location.** The ** RN Clinical Manager** coordinates and oversees all direct care...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Gentiva (Southfield, MI)
- …Executive Director to join our leadership team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in hospice care, ... costs, and budgeting while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain… more
- Highmark Health (Lansing, MI)
- …to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management , and identification and resolution ... Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health… more
- Hospice of Michigan (Ann Arbor, MI)
- …with completing expected within two (2) years of assuming role. + Current State of Michigan Registered Nurse ( RN ) license. + Minimum of three (3) years of ... Operations is responsible for clinical leadership, quality, patient satisfaction and management of patient care within a designated geographic region(s), within… more
- Corewell Health (Southfield, MI)
- …or related field + Previous grant writing experience. + Bilingual, Spanish Speaking + LIC- Registered Nurse ( RN ) - STATE_MI State of Michigan School Health ... staff. Assures clinical staff compliance with credentialing requirements and monitors utilization and referral patterns, clinical case loads and program needs.… more
- Trinity Health (Ann Arbor, MI)
- …Practitioner Program with emphasis on area of certification/licensure. **NP Licensure** : Current Registered Nurse and Acute Care Nurse Practitioner license ... managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the NP/PA… more
- McLaren Health Care (Pontiac, MI)
- …needs and community service needs within 24 hours of admission. 2. Receives RN Care Manager referrals to social work based on identified Social Work Triggers ... (see SW Referral Standard Operating Procedure - SOP). 3. Identifies and...of insurance benefits and coverage guidelines to maximize appropriate utilization of resources. 13. Documents in the EMR: assessment,… more
- Allegan County (Allegan, MI)
- …vaccine administration, lab draws, culture and urine collection. Education: -Licensed Practical Nurse (LPN) or Associates Degree RN required -Bachelor's Degree ... and managing client interactions. Plans and provides appropriate intervention and referral based on findings. + Documents client interaction, follow up phone… more