- Integrated Resources, Inc (Detroit, MI)
- …Timings: 8 am to 5 pm. Schedule Notes: . Full Time Day Shift Position Utilization Management or Telephonic Case management experience are not appropriate for ... organization and Performs other duties as assigned. Education: Certifications/licensures required: . Registered Nurse (RN) or a Licensed Social Worker (LMSW)… more
- 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
- Humana (Troy, MI)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Trinity Health (Ann Arbor, MI)
- …community. The Clinical Nurse Specialist (CNS) functions as an advanced practice registered nurse (APRN) within three spheres of influence (ie direct patient ... more years of progressively more responsible related work experience. + Current and valid Registered Nurse license and Clinical Nurse Specialist license in… more
- McLaren Health Care (Detroit, MI)
- …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... **Scheduled Bi-Weekly Hours:** **80** **Qualifications:** **Required** * State licensure as a Registered Nurse (RN) * Bachelor's degree in nursing from… 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
- Trinity Health (Livonia, MI)
- …Qualifications:** + Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have ... Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction.… more
- Trinity Health (Pontiac, MI)
- …to providing comfort, relieving pain, and alleviating anxiety. 3 Conducts a utilization management assessment on a visit basis to facilitate appropriate ... School of Nursing or equivalent. **B.** **Licensure / Certification** Oncology Certified Nurse (OCN), preferred. Current licensure to practice nursing in the State… 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
- Ciena Healthcare (Ann Arbor, MI)
- …hard-working team that values communication and strong teamwork abilities. **Responsibilities:** The Care Management Nurse , MDS Nurse works the RAI process ... 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
- Wayne State University (Detroit, MI)
- …Bachelor's degree Experience Experienced (minimum 2 years of job-related experience) Current Registered Nurse (RN) licensure with the State of Michigan is ... Diabetes Educator and Research Nurse - Internal Medicine Wayne State University is...nutrition, mediation, fitness, sleep, dentition, and stress contexts, including management and monitoring. Coordinate the development, utilization ,… 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
- University of Michigan (Ann Arbor, MI)
- …such as Allscripts + Participate in venues to reduce barriers to discharge ** Utilization Review and Utilization Management ** + Conduct clinical review ... Allscript + Identify opportunities for cost reduction and participate in appropriate utilization management venues + Conducts referrals and consultation with… 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 (Trenton, 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
- Corewell Health (Taylor, MI)
- …PHD. + 5 years of relevant experience Minimum of five (5) years progressive management /leadership experience. Required + LIC- Registered Nurse (RN) - State of ... open door policy, CNO Blog, Town Hall Meetings, and the Professional Nurse Council and matrix organizational structure. + Accountable for the efficient delivery… 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
