- Hospice of Michigan (Ann Arbor, MI)
- …CARE Model of Service: courtesy, acknowledgement, response and empathy. Qualifications: + Registered Nurse with a baccalaureate degree in nursing, preferably a ... Requires two to three years related quality and accreditation experience. + Current RN licensure in State of Michigan and maintain such licensure in accordance with… 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 ... to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible for scheduling...(CCS) + Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion… more
- McLaren Health Care (Pontiac, MI)
- …Communicates effectively and reports relevant observations of patient status to responsible Registered Nurse and follow through as directed. 10. Respects patient ... activities that occur in a sterile environment. 3. Demonstrates competency in utilization of specified equipment required for patient care, including but not limited… more
- Prime Healthcare (Port Huron, MI)
- …computer skills. Preferred qualifications: 1. Healthcare professional licensure required as Registered Nurse , Licensed Clinical Social Worker (LCSW), or Licensed ... to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs… more
- Highmark Health (Lansing, MI)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- McLaren Health Care (Lansing, MI)
- …professional nursing experience providing broad clinical exposure. Current State of Michigan Registered Nurse license. + BLS certification as Healthcare Provider ... accomplish the mission and vision of McLaren Greater Lansing through effective utilization of all resources, constantly striving to increase quality patient care and… more
- Highmark Health (Lansing, MI)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or… more
- Evolent (Lansing, MI)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- McLaren Health Care (Port Huron, MI)
- …pay period:** **Schedule:** **Position Summary:** Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition ... facilitating discharge planning to expedite a successful transition of care. 2. Assists RN and SW Care Managers with the referral process by collecting and… more
- CenterWell (Lansing, MI)
- …**Use your skills to make an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN ) with no disciplinary action and ... our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical… more