- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible ... Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- Corewell Health (Southfield, MI)
- …everyone. Together, we are Corewell Health. Scope of work The Clinical Utilization Management (UM) Supervisor is responsible for monitoring, supervising, and ... performing daily Utilization Management functions, which includes but is...size and complexity comparable to Corewell Health. Preferred + Registered Nurse (RN) - State of Michigan… more
- McLaren Health Care (Mount Clemens, MI)
- …barriers to D/C).4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers.5. ... Operating Procedure (SOP). #LI-KH1 **Qualifications:** **Required** * State licensure as a Registered Nurse (RN) * Bachelor's degree in nursing from accredited… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible for… more
- Ascension Health (Detroit, MI)
- … Nurse credentialed from the Michigan Board of Nursing preferred. + Registered Nurse credentialed from the Michigan Board of Nursing preferred. + ... + Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) preferred. Education: + High School diploma equivalency with… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with ... submitting your application. Responsibilities VA Careers - Licensed Practical Nurse : https://youtube.com/embed/Ae85IP1Oiz4 Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Licensed Practical Nurse -… more
- Tenet Healthcare (Detroit, MI)
- …“match” rate to ensure improvement in the accurate application of InterQual criteria Utilization Management § Implements and monitors processes to ensure medical ... Nursing, Business Administration or Hospital Administration preferred. 2. Licensed to practice as a Registered Nurse in the State of Michigan; 3. Three to five… more
- Corewell Health (Royal Oak, MI)
- …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... managing a case load of patients that includes facilitating utilization management , and/or care coordination during the... review, home care and/or discharge planning. Preferred + Registered Nurse (RN) - State of Michigan… more
- Corewell Health (Troy, MI)
- …of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate ... managing a case load of patients that includes facilitating utilization management , and/or care coordination during the... review, home care and/or discharge planning. Preferred + Registered Nurse (RN) - State of Michigan… more
- CTTX Health (Detroit, MI)
- …hospital case management leadership experience preferred. Business planning and project management experience preferred. 3. Registered Nurse or LCSW/LMSW ... of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition … more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. 3. At least 2 years of acute hospital case management experience. 4. Registered Nurse or LCSW/LMSW license; or relevant ... of national standards for Case Management scope of services, including utilization management supporting medical necessity and denial prevention, transition … more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition ... q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Tenet Healthcare (Detroit, MI)
- RN Traumatic Brain Injury FT Nights Sign-on Bonus Available - 2406001410 Description : The Registered Nurse (RN) is a member of the Patient Care Services Team. ... The Registered Nurse is responsible for the satisfactory...clinical pathways. The RN reports directly to senior unit management , participates in shared decision-making activities and establishes relationships… more
- Ciena Healthcare (St. Clair Shores, MI)
- …hard-working team that values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse , MDS Nurse works the RAI process and ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management...Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications: + Registered Nurse , RN or Licensed Practical … more
- Corewell Health (Royal Oak, MI)
- …leadership on behalf of unit/site/system at Shared Governance Council, etc. Required + LIC- Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required ... excellence for staff recruitment and retention and clinical and business outcomes. The Nurse Manager is responsible to ensure safe and effective delivery of patient… more
- Ciena Healthcare (Troy, MI)
- …assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . At Ciena Healthcare, we take care ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management...Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications + Registered Nurse (RN) or Licensed Practical … more
- McLaren Health Care (Mount Clemens, MI)
- …* Current State of Michigan RN license * One year of experience as a Registered Nurse /Charge Nurse or Assistant Manager in Surgical Services, OR or ... performance and/or leadership of patient care team members and patient care management staff. Assists in the coordination of patient care through the appropriate… more
- Tenet Healthcare (Detroit, MI)
- …eight or more years of current equivalent clinical experience. 2. Licensed to practice as a Registered Nurse (RN) in the state of Michigan. 3. Two or more years ... of Excellence. Job Summary Under the supervision of designated management and in collaboration with support staff (eg, clinical... and in collaboration with support staff (eg, clinical nurse specialists and nurse educators), plan, implements… more
- Corewell Health (Dearborn, MI)
- …previous nursing home experience. Preferred + Progressive supervisory experience. Required + LIC- Registered Nurse (RN) - STATE_MI State of Michigan required ... quality patient care is provided. Responsible for patient care management , human resource utilization , and the operational...their assigned shift. Essential Functions + Performs limited charge nurse duties. + Conducts rounds on a regular basis… more
- Henry Ford Health System (Detroit, MI)
- …interruption and work in a fast-paced work environment. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse (RN) with a valid, unrestricted State of Michigan ... + Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. + Desire to work… more