- CVS Health (Lansing, MI)
- …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and… more
- CVS Health (Lansing, MI)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zones.… more
- Highmark Health (Lansing, MI)
- … **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- Tenet Healthcare (Detroit, MI)
- …standards. The individual in this position has overall responsibility for hospital utilization management , transition management and operational ... plan across multiple hospitals. They are a leader, mentor, consultant , and subject matter expert regarding case management...· Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive… more
- Corewell Health (Benton Harbor, MI)
- …development. Supervises within established clinical quality standards and quality management plan protocols. Essential Functions - Supervisor, Center for Better ... of care. Reports problems with providers to provider relations or management staff. Assures clinical staff compliance with credentialing requirements and monitors… more
- Munson Healthcare (Cadillac, MI)
- …1. Graduate of an accredited school of nursing. Currently licensed as a Registered Nurse in the State of Michigan. 2. BSN required; MSN preferred. 3. Minimum of ... theory and practice including the nursing process. 8. Additional education in management principles and teaching is preferred. ORGANIZATION 1. Under direct and… more
- Munson Healthcare (Traverse City, MI)
- …will be required to be in the role. Preferred Additional education in management principles and teaching is preferred. Preferred Graduate Degree MSN Required 5 ... Min/Preferred Certification, Licensure, Registration Comments Minimum Licensed as a Registered Nurse in the State of Michigan OTHER REQUIREMENTS . For those… more