- R1 RCM (Detroit, MI)
- …as a CDM Coordinator or equivalent role + Coding certificate or clinical licensing/certifications (BSN, RN , LPN, RT, RCC, CRTT, RHIA, CPC, CCS, CIRCC, ... Master Description Analyst:** + Process CDM requests received from the clinical departments, or others, researching references and regulations to ensure correct… more
- Molina Healthcare (MI)
- …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and… more
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... severity of illness and CMI as well as ICD-10 coding systems and the guidelines related to Clinical... Registered Health Information Technician (RHIT) + Certified Coding Specialists (CCS) + Licensure as a physician assistant… more
- Corewell Health (Grand Rapids, MI)
- …experience Clinical Role Required + Clinical Documentation Review Preferred + LIC- Registered Nurse ( RN ) - STATE_MI State of Michigan Upon Hire ... Job Summary Conducts thorough analysis encompassing clinical review and assessment of patient records focusing on the documentation of the clinical condition and… more
- CVS Health (Lansing, MI)
- …for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding Certification - Certified ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more
- Henry Ford Health System (Troy, MI)
- …operations, in order to assume a variety of high-level administrative details. + Coding knowledge. Knowledge of clinical terminology. + Understanding of patient ... relevant to successful authorization procurement is obtained from back end coding , billing and denial management resources and distributed to ordering physicians… more
- Corewell Health (Royal Oak, MI)
- …required. Nurse Practitioner Candidate: + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State ... quality improvement goals strategic planning and protocol or policy enforcement, including APP clinical work product at top of scope or adherence to the Hospital… more
- McLaren Health Care (Detroit, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the coordination of patient admission and continued stay reviews, as ... Functions and Responsibilities as Assigned:** 1. Collaborates with the UM RN to determine the appropriate hospital setting (inpatient vs. observation) based… more
- McLaren Health Care (Lapeer, MI)
- **Full Time Night Shift** **Position Summary:** Working under the direction of an RN and in compliance with the treatment plan, provides therapeutic care and ... enrolled in an accredited Nursing Program who has completed mental health clinical rotation, or;** + **High school diploma with three years providing direct… more
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