- Tenet Healthcare (Detroit, MI)
- Trauma Nurse Practitioner Per Diem Rotate - 2406002282 Description : DMC Sinai-Grace Hospital is DMC’s largest hospital, offering a comprehensive heart center, ... care for hospitals and physicians throughout the nation. Summary Description The Trauma Nurse Practitioner (NP) is an advanced practice nurse who utilizes… more
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team ... frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The UM Nurse Team Lead's responsibilities include but are not limited to:… more
- Sunrise Senior Living (Grosse Pointe Woods, MI)
- …is to be a part of.** **Job ID** 2025-232343 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents and ... time 'noted', and date faxed to pharmacy accurately and promptly. + Complete MAR/TAR audit each month. + Demonstrate and is knowledgeable of the Six (6) Rights of… more
- Humana (Lansing, MI)
- …community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and independent critical thinking ... appropriate treatment, care, or services for Enrollees. The Utilization Management Nurse Lead coordinates and communicates with Providers, Enrollees, or other… more
- Grace Health (Battle Creek, MI)
- Clinical Support Nurse Coordinator | $1,000 Sign-On Bonus | No Weekends! Battle Creek, MI | Full-Time | Monday-Friday Grace Health is seeking an experienced ... Registered Nurse to join our education team! In this dynamic role, you'll help audit and support clinical staff, lead quality improvement initiatives, and shape… more
- Trinity Health (Ann Arbor, MI)
- …between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical ... four (4) years of nursing experience and two (2) years of charge audit , managed care or comparable patient payment processing experience preferred. Must have current… more
- Hospice of Michigan (Kalamazoo, MI)
- …support of the mission of NorthStar Care Community. The Clinical Quality Nurse Specialist is responsible, through monitoring and supporting clinical staff, for ... feedback to the clinician following a clinical visit. Communicating results of the audit . Identifying both positive practices as well as areas of opportunity. +… more
- Molina Healthcare (Ann Arbor, MI)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management… more
- Elevance Health (Dearborn, MI)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- CVS Health (Lansing, MI)
- …leaders. **Core duties:** + Partner with Medicaid Care Management, NCQA, Compliance and Audit leads to analyze and support performance of all relevant markets. + ... processes to act as primary resource for program oversight, consultation, and audit monitoring + Represents advanced level of knowledge and training related to… more