- Henry Ford Health System (Wyandotte, MI)
- … Nurse Additional Information + Organization: Henry Ford Wyandotte Hospital + Department: Clinical Resource Center - WH + Shift: Day Job + Union Code: ... GENERAL SUMMARY: The Nursing Manager is a Registered Nurse who...for the care of responsible patient populations. Assures professional, clinical , and educational excellence in the provision of quality… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse (RN) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse ... other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management: Balances clinical and financial requirements and resources in advocating… 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 ... and the Director of Surgical Services . Mentors, and supervises certified registered nurse anesthetists . Functions as a resource to CRNA staff and… more
- Option Care Health (Detroit, MI)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... the best and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales… more
- Elevance Health (Dearborn, MI)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Henry Ford Health System (Detroit, MI)
- …community resources to optimize patient outcomes and promote efficient resource utilization. Key Responsibilities: Clinical Care Coordination: + Conduct ... Register today by following this link: qrco.de/bffvep Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring… more
- Humana (Flat Rock, MI)
- …part of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied...an impact** **Required Qualifications** + **Registered Nurse , Nurse Practitioner, or Clinical Nurse … more
- CVS Health (Detroit, MI)
- …+ Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and ... with heart, each and every day. **Position Summary** **Case Manager RN** WFH Flexible This role will be 25-50%%...questions and conversation. **Required Qualifications** + Minimum 3+ years clinical practical experience as a Registered Nurse … more
- CVS Health (Detroit, MI)
- …* Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. * Collaborates with supervisor and ... it all with heart, each and every day. **Case Manager RN** WFH Flexible **Position Summary** Help us elevate...serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our… more
- Trinity Health (Livonia, MI)
- …ensure appropriate data, provider communication and quality outcomes. Serves as a resource for appropriate clinical documentation. Develops CDS team through ... as ICD-10 coding systems and the guidelines related to Clinical Documentation Improvement. Serves as a resource ...Must possess one of the below: + Current Registered Nurse (RN) License + Registered Health Information Administrator (RHIA)… more
- US Tech Solutions (Detroit, MI)
- **Position Summary:** Travel within Wayne and Macomb county. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for ... individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. **Duties:** Through the use… more
- Hospice of Michigan (Dearborn, MI)
- Job Summary: The Manager , Clinical Operations is responsible for clinical leadership, quality, patient satisfaction and management of patient care within a ... areas of responsibility. + Provides ongoing support, education and resources for clinical practice based on assessment,...of assuming role. + Current State of Michigan Registered Nurse (RN) license. + Minimum of three (3) years… more
- Henry Ford Health System (Detroit, MI)
- …experience. The Nurse Navigator-Oncology directly reports to the HFCI Manager - Clinical Navigation or Supervisor- Clinical Navigation. Supporting the brain ... GENERAL SUMMARY: The Clinical Navigation Team consists of Nurse ...as a working knowledge of insurance rules and community resources . + Computer skills and knowledge of Windows, Outlook… more
- ChenMed (Detroit, MI)
- …expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage directional patient care advice ... issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call… more
- Molina Healthcare (Detroit, MI)
- …for denial or modification of payment decisions. + Serves as a clinical resource for utilization management, CMOs, physicians and member/provider ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and… more
- Hospice of Michigan (Detroit, MI)
- …to provide assessment information after the initial visit and with the clinical manager or designee to provide patient/family information, including unusual ... participates in team functions and meetings; acts as a resource for orientees, when appropriate and/or requested. + Responds...Responds to information requested by third party payers, calls clinical report to case managers as directed. + As… more
- Trinity Health (Livonia, MI)
- …**POSITION PURPOSE** Work Remote Position At the direction of the Regional Manager , Clinical Documentation Integrity (CDI), this position supervises daily ... and Clinical Documentation Integrity Coordinator. Working with the Regional Manager , Clinical Documentation Integrity, is directly responsible for the daily… more
- Hospice of Michigan (Southfield, MI)
- …ensure appropriate coverage. 10. Works with the AVP, Business Development and the clinical manager on targeting and growing referrals and admissions. 11. ... care with discharge planning. 21. Attends interdisciplinary team meeting as indicated by clinical manager . 22. Ensures that arrangements for equipment and other… more
- Hospice of Michigan (Southfield, MI)
- …information after the initial visit and confers with the operations manager or designee to provide patient/family information, including unusual or potentially ... organization, to achieve desired outcomes. + Acts as a resource for staff members and orients new staff as...Responds to information requested by third party payers, calls clinical report to case managers as directed. + Utilizes… more
- Henry Ford Health System (Detroit, MI)
- …you like to speak with a Nurse Recruiter? (https://outlook.office365.com/owa/calendar/###@henryfordhealthsystem.onmicrosoft.com/bookings/) At Henry Ford Hospital, ... professional practice standards and the Henry Ford Hospital Professional Nurse Practice Model to drive nursing practice. Thank you...in the current American College of Surgeons (ACS) document Resource for the Optimal Care of the Injured Patient… more