- 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
- R1 RCM (Detroit, MI)
- …weekend schedule of four ten-hour shifts Friday to Monday. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay range ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our hospital… 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
- 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
- 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 (Farmington Hills, 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_MI State of… 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
- Corewell Health (Southfield, MI)
- …to inpatient adult, pediatrics and critical care, emergency and urgent care. Required + Registered Nurse (RN) - State of Michigan Upon Hire required Primary ... and transfers based on urgency of patient's condition and utilization of available beds. + Plan, prioritize and direct...use of EPIC applications as they pertain to Bed Management . + Delegate tasks as indicated for patient placement.… 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
- Trinity Health (Livonia, MI)
- …or the equivalent in experience. Must possess one of the below: + Current Registered Nurse (RN) License + Registered Health Information Administrator (RHIA) ... Health Ministries (HM) in their defined region and day-to-day management of the CDI programs. Works with Director, CDI...to enhance clinical and coding skill sets and optimal utilization of 3M CDI software. Analyzes data to determine… 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