- Evolent (Lansing, MI)
- …payers. Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the ... mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance… more
- IQVIA (Detroit, MI)
- Our **MedTech RN Clinical Educator's** experiences a unique opportunity to employ their clinical nursing expertise in a new way outside patient care, while ... technology. You will be responsible for training and educating Registered Nurses on medical devices primarily used for vascular...no sales responsibilities, and no bedside care. + Provide peer -to- peer education and in-servicing to nurses, and… more
- Highmark Health (Lansing, MI)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member… more
- University of Michigan (Ann Arbor, MI)
- …accredited Nurse Practitioner program + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State ... and communicating specific patient needs to team members. + Participate in peer evaluations and quality-assurance activities, support research projects and any other… more
- Cardinal Health (Lansing, MI)
- …be needed to perform your duties up to 25%. **_Qualifications_** + Current, unrestricted Registered Nurse license, required. + BA, BS or equivalent experience in ... and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides coaching as needed to… more
- Elevance Health (Dearborn, MI)
- …providers. + Refer cases that do not meet criteria and need non-cert., to Peer Advisors. + Manage release of MHSA benefit provided by carrier for designated group. ... referral and/or make referral appointment as circumstances warrant. + Review for medical appropriateness psychiatric/substance abuse cases utilizing professional… more
- Michigan State University (East Lansing, MI)
- …field Minimum Requirements + + PhD in Nursing or related field + Unrestricted RN license without probationary status (or eligible) as applicable + Maintain and grow ... dissemination in area of research + Consistently publishing four or more peer -reviewed publications in indexed high-impact journals annually, with the majority of… more
- Highmark Health (Lansing, MI)
- …to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and ... of cultural competency in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or NY is required. Other… more
- University of Michigan (Ann Arbor, MI)
- CLINICAL ASSISTANT PROFESSOR Apply Now **How to Apply** The confidential review of applications will occur December 2025 through February 2026 until the position is ... + Three (3) to five (5) publications of your best work (usually peer -reviewed) For further information regarding these positions, please contact Dana Tschannen, PhD,… more