- Fresenius Medical Center (Romulus, MI)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a valid, unrestricted State of Michigan… more
- Corewell Health (Royal Oak, MI)
- …management, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire required ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
- Corewell Health (Southfield, MI)
- …Degree or equivalent in healthcare or related field + 2 years of Nursing experience + LIC- Registered Nurse ( RN ) - State of Michigan upon hire Preferred + ... requirements for meetings or events. We are seeking a highly skilled and detail-oriented RN Clinical Database Specialist to join our team with a primary focus on… more
- Elevance Health (Dearborn, MI)
- This role enables associates to work virtually full -time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. ... is granted as required by law. **Wound Care UM RN ** **Work Shift:** 10:30AM -7PM Central Time The **Wound...wound care. + Promotes healing and decrease home care utilization . + Responsible for certification determinations and sending written… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **POSITION SUMMARY:** Provides clinical support within Supply Chain Management for all aspects ... service activities for clinical departments. Responsible for identification of utilization and standardization opportunities resulting in supply spend savings and… more
- Tenet Healthcare (Detroit, MI)
- …goals and objectives that support overall strategic plans of the Case Management and Utilization Review strategy · Lead Group hospital Case Management and ... Utilization Review operations for cost-effective and clinically...experience, business planning and project management experience preferred. Required: Registered Nurse or LCSW/LMSW license. Must be… more
- Integra Partners (Troy, MI)
- …to design individual training plans to help improve employee performance EDUCATION: + Registered Nurse ( RN ) certification from an accredited nursing program ... Integra Partners is seeking an experienced nurse educator to join our Operations Training &...to get things done. PREFERRED SKILLS: + Certification in Utilization Review or Case Management + Experience… more
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... **Employment Type:** Full time **Shift:** **Description:** **Remote based work location**...to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible for scheduling… more
- Corewell Health (Royal Oak, MI)
- …required. Nurse Practitioner Candidate: + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State ... and implementation performance evaluations, OPPE/FPPE, etc. Represents APPs to outside review services such as Joint Commission, American College of Surgeons etc.… more
- Elevance Health (Dearborn, MI)
- …be considered **Virtual:** This role enables associates to work virtually full -time, with the exception of required in-person training sessions, providing maximum ... for employment, unless an accommodation is granted as required by law. The ** Nurse reviewer I** is responsible for conducting preauthorization, out of network and… more