- Molina Healthcare (Sterling Heights, MI)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for … more
- Humana (Canton, MI)
- …of 2** **years experience in health care and/or case management** + **Active Michigan Registered Nurse ( RN ) license with no disciplinary action** + **Must ... care and advocating for optimal member outcomes. + Will review , assess, and complete medical complexity attestations...your skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or… more
- Fresenius Medical Center (Madison Heights, MI)
- …AND SCOPE:** Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis ... + Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab requisitions for… 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 ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- AccentCare, Inc. (Madison Heights, MI)
- Overview Registered Nurse / RN Team Director , Hospice Location: Madison Heights, MI Position: Registered Nurse / RN Team Director Job ID: ... Find Your Passion and Purpose as a Full-Time Hospice Registered Nurse / RN Team...+ Three+ years' experience in hospice, home health, general medical surgery, oncology, or patient population-specific nursing (ie, geriatrics,… more
- BioLife Plasma Services (Ypsilanti, MI)
- …requirements Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse ( RN ), Nurse Practitioner (NP) or ... the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to...eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of… more
- Molina Healthcare (Sterling Heights, MI)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Sterling Heights, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary The Care Review Clinician RN provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Molina Healthcare (Sterling Heights, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Molina Healthcare (Sterling Heights, MI)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Sterling Heights, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Sterling Heights, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Sterling Heights, MI)
- … claims review , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in the ... JOB DESCRIPTION Job Summary The RN Lead, DRG Coding/Validation provides lead level support...validation tools and process improvements - ensuring that member medical claims are settled in a timely fashion and… more
- Corewell Health (Royal Oak, MI)
- …in care management, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire ... for patients utilizing hospital outpatient, observation or inpatient services. 4. May review cases for medical necessity, uses InterQual and/or other UR/UM… more
- Corewell Health (Dearborn, MI)
- …in care management, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required How ... utilizing hospital outpatient, observation or inpatient services. + May review cases for medical necessity, uses InterQual...accredited school of nursing. + Preferred Will consider non-BSN RN if actively pursuing a bachelor's degree in nursing… more
- Surgery Care Affiliates (Novi, MI)
- …change. If you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse ( RN ) PreOp PACU. + Promote the mission, vision, and ... your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company...to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …YOUR APPLICATION (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3535537&source=3535537-CJB-0) Job Title: Registered Nurse Job Status: ... a member of a multidisciplinary team that includes a nurse practitioner and clinicians + Review , interpret...Licenses/Certifications Required at Date of Hire: + Must be registered nurse in good standing based on… more
- Henry Ford Health System (Novi, MI)
- …preferred. Strong IV skills a must. GENERAL SUMMARY: Under the delegated authority of a registered nurse or provider, the Licensed Practical Nurse (LPN) uses ... Licensed Practical Nurse LPN - Ambulatory Gastroenterology - Novi Location...items, cleaning rooms, in-basket, medication refills under standing order, review prep instructions w/patients, etc. Will rotate between colon… more
- Fresenius Medical Center (Livonia, MI)
- …task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN ) and in compliance with state law. + ... information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient...obtain vital signs + Collect patient's treatment records and review for completion. Notify RN of incomplete… more
- Trinity Health (Livonia, MI)
- …**Minimum rate of pay: $121.25/hour** **JOB SUMMARY** + The CRNA, Certified Registered Nurse Anesthetist involved in the administration of various types ... **Description:** **_UP TO $10K SIGN ON BONUS AVAILABLE _** **Certified Nurse Anesthetist - CRNA** **Department:** Anesthesia **Location:** Trinity Health Livonia and… more