- Humana (Lansing, MI)
- …our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and… more
- CenterWell (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Humana (Lansing, MI)
- …of contact for the beneficiary for all activities within the medical and behavioral health spectrum. They will also coordinate with other Medical Management ... part of our caring community and help us put health first** The Telephonic Nurse Case Manager...(SDOH). Plan shall include psychosocial issues, home environment and behavioral health needs across the full continuum… more
- Highmark Health (Lansing, MI)
- …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year in advanced training and… 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 ... both patients and families. **Mission Statement** Michigan Medicine improves the health of patients, populations and communities through excellence in education,… more
- Corewell Health (Grand Rapids, MI)
- …reviews and appeals. Additional support to the UM functions of the Corewell Health South Behavioral Health Inpatient unit. + Assesses internal and ... and makes recommendations to PCPs, specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize… more
- University of Michigan (Ann Arbor, MI)
- …and patient care planning by communicating oral and written observations and behavioral information to nurse assigned to patient. Participate in discussions ... operational and routine. **Mission Statement** Michigan Medicine improves the health of patients, populations and communities through excellence in education,… more
- Molina Healthcare (Sterling Heights, MI)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more