- 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
- 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
- Henry Ford Health System (Detroit, MI)
- …while working in a fun and dynamic environment? Join our team as a Registered Nurse (RN) Case Manager! Who We're Looking For: Passionate, compassionate, and ... **NEWLY ENHANCED PAY RATES** Inpatient Case Management Days (8am to 4:30pm); Every 5th Weekend...new dyad Social Work/RN Case Manager model and remote utilization review setup, allowing you to excel in your… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …healthcare provider who utilizes critical judgment in the performance and direct management of acute/chronic illness and disease. Nurse Practitioner practice ... skills in the following: emergency preparedness, infection control. hazardous material management , fire and equipment failure emergency management , and utility… more
- Fresenius Medical Center (Detroit, MI)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- ChenMed (Detroit, MI)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State of employment required. + A minimum of ... people to join our team. * The Acute Care Nurse is responsible for achieving positive patient outcomes, managing...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
- Henry Ford Health System (Detroit, MI)
- …on Certification of Physician Assistants (NCCPA) OR master's prepared Advanced Practice Registered Nurse with NP board certification in their chosen specialty. ... on Certification of Physician Assistants (NCCPA) OR master's prepared Advanced Practice Registered Nurse with NP board certification in their chosen specialty.… 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
- 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
- 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 Surgical Contingent Nights - 2406002592 Description : The Registered Nurse (RN) is a member of the Patient Care Services Team. The Registered Nurse is ... team members including ancillary and support services. The role of the Registered Nurse at the DMC encompasses leadership, partnership, collaboration, teaching… more
- Ciena Healthcare (Detroit, MI)
- …assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . At Ciena Healthcare, we take care ... American Association of Nursing Assessment Coordinators (AANAC) requirements. **Qualifications** + Registered Nurse (RN) licensure + AANC certification a plus.… more
- McLaren Health Care (Mount Clemens, MI)
- …Nursing * 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)
- …or health care field, or equivalent combination of education and/or related experience. Registered Nurse preferred. 2. Two to three years progressively more ... established policies and procedures, monitors patient care for quality assurance, utilization review and risk management activities. Determines appropriateness… more
- Henry Ford Health System (Wyandotte, MI)
- …ability to successfully advocate for patients and their families. CERTIFICATIONS/LICENSURES REQUIRED: Registered Nurse (RN) or a Licensed Social Worker (LMSW) ... group therapy experience, safety planning, psychiatric assessment, COPE and DWIHN knowledge, utilization review. GENERAL SUMMARY: The Case Manager is a member of the… more
- Corewell Health (Grosse Pointe, MI)
- …savings + Relocation assistance (OPTIONAL) Qualifications Required + Bachelor's Degree BSN + LIC- Registered Nurse (RN) - STATE_MI State of Michigan + 5 years ... stakeholders. Also, ensures continuity of and coordination of services with appropriate utilization of resources. + Responsible for stakeholder management across… more
- Henry Ford Health System (Detroit, MI)
- …where every day is different? Join our Emergency Department team as a Registered Nurse (RN) Case Manager! Who We're Looking For: Passionate, compassionate, ... Benefit from our new dyad Social Work/RN Case Manager model and remote utilization review setup, designed to let you excel in your profession. + Continuous… more
- Corewell Health (Troy, MI)
- …5-10 years of experience in Surgical Services with at least 3 years in a management role. Required LIC- Registered Nurse (RN) - STATE_MI State of Michigan ... programs and services that support patient care delivery, and plan effective utilization of workforce, facilities and equipment. Supports all initiatives of Patient… more