- The Laurels of Fulton (Perrinton, MI)
- …current with American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse ( RN ) AANC certification a plus. ... coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . The...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management… more
- The Laurels of Bedford (Climax, MI)
- …with the American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications: Registered Nurse ( RN ) or Licensed Practical Nurse ... values communication and strong teamwork abilities. Responsibilities The Care Management Nurse , MDS Nurse works...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management… more
- Yale New Haven Health (Waterford, MI)
- …Infusion experience required. Outpatient ambulatory experience preferred. LICENSURE/CERTIFICATION: A Registered Nurse licensed in the State of Connecticut. ... professionals, every day. Provides clinical services and leadership in the coordination and management of patients. The staff nurse assesses , plans, implements,… more
- Yale New Haven Health (Warren, MI)
- …Staff appointment process in order to be eligible. LICENSURE Certified Registered Nurse Anesthetist AANA Certification, State of CT RN and APRN License, ACLS ... may arise. EEO/AA/Disability/Veteran Responsibilities 1. Clinical Care 1.1 The Certified Registered Nurse Anesthetist (CRNA) implements accurate, safe, patient… more
- Christian Park Healthcare Center (Escanaba, MI)
- …with American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse ( RN ) licensure AANC certification a ... coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . At...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management… more
- Yale New Haven Health (Waterford, MI)
- …Patient Throughout The Perioperative Experience. Performs Scrub And Related Duties With A Registered Nurse . Is Responsible For The Immediate Sterile Field And ... Provides Assistance To Nursing And Anesthesia Staff. Assists With Inventory Management As Well As Equipment Maintenance. Provides Any Supportive Duties That… more
- beBeeMds (Perrinton, MI)
- …Care Management Coordinator. Maintenance of AANAC requirements awareness. Requirements A Registered Nurse ( RN ) degree is required. AANC certification or ... Our organization seeks a seasoned nurse professional to assume the role of MDS...MDS Coordinator will supervise nurses involved in the care management process. Skills, Experience, Qualifications, If you have the… more
- Parexel (Lansing, MI)
- **Job Title:** Data Management Lead (Medical Affairs) - Oncology **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** At ... solutions. We are seeking a dynamic and experienced Data Management Lead to join our team. If you have...practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable… more
- The Laurels of Fulton (Chesaning, MI)
- …assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse .The Laurels of Fulton offers one of ... schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management CoordinatorRemains current with… more
- McLaren Health Care (Bay City, MI)
- …duties as required and directed. #LI-LM1 **Qualifications:** _Required_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... **Department:** Utilization Management **Shift:** Days **Daily Work Times:** 8am - 4:30pm **Scheduled Hours per Pay:** 40 Position Summary: Responsible for… more
- McLaren Health Care (Port Huron, MI)
- …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate… 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
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team ... internal partners (eg, Provider Relations, Quality) to resolve escalations and address utilization management issues. + Represent UM nursing team in internal… more
- CVS Health (Lansing, MI)
- … solutions that promote high-quality healthcare for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant, where you'll ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- CenterWell (Lansing, MI)
- …clinical experience. + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Intelligence + ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...Experience with Home Health preferred + Previous experience in utilization management within Insurance industry a plus… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... for case management scope of services including: Utilization Management services supporting medical necessity and...One (1) year hospital acute or behavioral health case management experience preferred. Active and valid RN … more
- Corewell Health (Caledonia, MI)
- …acute care, clinical nursing, preferably multiple clinical settings, or related experience Required + Registered Nurse ( RN ) - State of Michigan required How ... and continued stay. Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations 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 + ... Thursday, Friday (4 hours), mostly remote, occasional on-site About the Department: RN UM - Supporting the insurance coordination functions for the Helen DeVos… 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
- 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
