- McLaren Health Care (Bay City, MI)
- **Department:** Utilization Management **Shift:** Days **Daily Work Times:** 8am - 4:30pm **Scheduled Hours per Pay:** 40 Position Summary: Responsible for ... as Assigned: 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate… more
- McLaren Health Care (Port Huron, MI)
- …as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate ... for timeliness, appropriateness and completeness as pertains to the utilization management process including level of care,...and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in… more
- Cognizant (Lansing, MI)
- …- Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in ... 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
- 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Lansing, MI)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… 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 + Basic Life ... of insurance prior authorizations, initial reviews, continuous stay reviews and appeals. Nurse Care Manager - Plans and prioritizes care for individuals and… more
- McLaren Health Care (Pontiac, MI)
- …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... and directed. #LI-AK1 _Required_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in...the Military Training network (MTN) _Preferred:_ + Experience in utilization management /case management , critical care,… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager (RN) - 2506003132 Description : DMC Detroit Receiving Hospital , Michigan's first Level I Trauma Center, helped pioneer the ... for case management scope of services including: Utilization Management supporting medical necessity and denial... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- CVS Health (Lansing, MI)
- …and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal… 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
- State of Michigan (Lansing, MI)
- Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight... Analyst 12 Two years of experience as a Registered Nurse P11 or equivalent may be ... in a clinical health care field; OR at least two years of experience as a Registered Nurse P11 or equivalent. If so, please attach a copy of your official… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …are critically ill and in need of higher level of care. The Registered Nurse - Critical Care/ICU executes position responsibilities that demonstrate leadership, ... experience, and creative approaches to management of complex patient care, collaborates in the development,...to the professional development of health care professionals. The Registered Nurse - Critical Care/ICU evaluates outcomes of… more
- Veterans Affairs, Veterans Health Administration (Iron Mountain, MI)
- …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 ... will need a Credentials Evaluation in order to be considered for boarding above a Nurse I Level 3. Registered nurses who require a credentials evaluation can… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (9C Adult Psychiatry Unit) Apply Now **Job Summary** The Adult Inpatient Psychiatry Unit (9C) offers inpatient diagnostic ... emphasize coordinating these recommendations with ongoing or subsequent psychiatric management . Patients also may be invited to participate in...Eighteen (18) months of recent psych experience as a Registered Nurse NOTE: In order to be… 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 ... and coaching on wellness, disease prevention, and chronic care management . Assist in directing the provision of nursing education,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Lansing, MI)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse assigned to be the Assistant Nurse Manager of the inpatient ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse (RN) for the Inpatient Medical/Surgical unit, aligned under the ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… 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
- McLaren Health Care (Grand Blanc, MI)
- …role, responsibilities tools, and methodologies. _Required:_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in nursing from accredited ... maintenance of continuing education requirements Preferred: + Experience in utilization management /case management /clinical documentation. + Certification… more