- Tenet Healthcare (Detroit, MI)
- …accurate medical necessity screening and submission for Physician Advisor review , b) care coordination, c) transition planning assessment and reassessment, d) ... for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers to support admission, level of care, length of stay and… more
- Lincoln Financial (Lansing, MI)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills **Application… more
- Humana (Detroit, MI)
- …for optimal member outcomes. + Will review , assess, and complete medical complexity attestations and clinical oversights. + Ensures members are receiving ... clinical support and guidance, particularly for members with medical complexity. Help develop and coordinate care plans ensuring...an impact** **Required Qualifications** + **Registered Nurse , Nurse Practitioner, or Clinical Nurse … more
- Fresenius Medical Center (Madison Heights, MI)
- …Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... + Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab requisitions for… more
- Sunrise Senior Living (Bloomfield Hills, MI)
- …Sunrise of Bloomfield Hills **Job ID** 2025-233332 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... administration, communication with resident support services and families, and maintaining clinical quality assurance while leading and demonstrating the Mission for… more
- Henry Ford Health System (Jackson, MI)
- …Position Overview: Henry Ford Health - Jackson is seeking a full-time, experienced Nurse Practitioner (NP) or Physician Assistant (PA) to join our Urology team in ... ideal candidate will be proficient in urology procedures, demonstrate strong clinical and communication skills, and be committed to delivering high-quality,… more
- CVS Health (Lansing, MI)
- …benefit overall claim management. + Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to ... in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
- McLaren Health Care (Petoskey, MI)
- **Department:** 2 Central Medical Surgical Unit **Daily Work Times:** 7p-7:30a **Scheduled Bi-Weekly Hours:** 48 **Relocation reimbursement** **Onsite Daycare** Uses ... clinical judgment skills to diagnose and treat patient responses...learning through certification, advanced practice, higher education, and literature review . + Leadership/Credibility: Demonstrates leadership through sharing of knowledge,… more
- Fresenius Medical Center (Ann Arbor, MI)
- …to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. + Delivers safe, effective care in a ... May be assigned to in-center patient care on an as needed basis + Review and comply with the Code of Business Conduct and all applicable company policies… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following ... services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and… more