- Evolent (Lansing, MI)
- …Reviewer, Nurse , you will routinely interact with leadership and management staff, other CR's (Clinical Reviewers), providers, office staff and Field Medical ... you will be a key member of the utilization management team. We can offer you a meaningful way...**Qualifications:** + Current, unrestricted state licensure as a Registered Nurse + Associate or Bachelors in Nursing … more
- Marshfield Clinic (Iron Mountain, MI)
- …most exciting missions in the world!** **Job Title:** Paramedic or Registered Nurse - Critical Care Transport **Cost Center:** 301081091 System EMS **Scheduled ... direction of the medical director and supervision of transport management is responsible for providing safe and the highest... is responsible for providing safe and the highest quality patient-centered care to critically ill or injured patients… more
- Gentiva (Grand Rapids, MI)
- …documentation standards **About You** **Requirements:** + Master's or higher degree in Nursing + Completion of a graduate-level nurse practitioner program ... journey? Are you confident working independently, making decisions that impact quality of life, and ensuring regulatory excellence? If so, consider bringing… more
- Humana (Detroit, MI)
- …an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare /Medicaid members.** The Field Care Manager Nurse 2 employs a variety of ... help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Molina Healthcare (Ann Arbor, MI)
- …Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + other ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Marshfield Clinic (Iron Mountain, MI)
- …most exciting missions in the world!** **Job Title:** Paramedic or Registered Nurse - Critical Care Transport **Cost Center:** 301081091 System EMS **Scheduled ... Variable (United States of America) **Job Description:** **JOB SUMMARY** The Registered Nurse - Critical Care Transport works under the direction of the medical… more
- Tenet Healthcare (Detroit, MI)
- … Management , Utilization Management , and other topics specific to case management . Job : Nursing Primary Location : MI-Detroit : Hospital/Facility : DMC ... Registered Nurse Case Manager Contingent Days - 2506002318 Description...avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management … more
- Trinity Health (Grand Haven, MI)
- …Day Shift **Description:** **Position Overview:** Under the supervision of the Nurse Leader, the Clinical Teams Facilitator coordinates hospice services, labs; and ... requested by the client/family, and in compliance with the state's Nursing Practice Act, any applicable licensure/certification requirements, and the organization's… more
- McLaren Health Care (Flint, MI)
- …and utilization of behavioral change techniques. Works with the PCP, the member and management to promote the delivery of quality services at the most ... We are looking for a Utilization Management RN, to join us in leading our...as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan… more
- Henry Ford Health System (Grand Blanc, MI)
- + Department: Nurse Staffing (Float Group A) + Schedule: Part Time Nights 7 pm - 7:30 am M-F and QOWE SS + Location: Grand Blanc, Michigan + Hospital: Henry Ford ... and commitment to the philosophy and objectives of Patient-Focused Care, continuous quality improvement, team interaction, and the mission and values of Ascension… more