- Tenet Healthcare (Detroit, MI)
- …role REQUIRED CERTIFICATIONS/LICENSURE: Possession of current State License for Registered Nurse . PREFERRED CERTIFICATIONS/LICENSURE: Specialty or Administration ... of care inclusive of the QAPI Plan. Other oversight includes: a. utilization of telehealth/telemedicine, if used. 2. Develop and maintain the Maternal Program… more
- Munson Healthcare (Traverse City, MI)
- …Physician Assistants) + Licensure as a Physician Assistant by the State of Michigan + Nurse Practitioner: + Licensed Registered Nurse in the State of ... SUMMARY We are seeking a PRN Behavioral Health Physician Assistant or Nurse Practitioner to provide assessment, treatment planning, psychiatric services, and care… more
- McLaren Health Care (Flint, MI)
- …resource to both the medical center staff and physicians. **Required:** + Licensed as a Registered Nurse to practice nursing inMichigan + A minimum of 2 years ... management staff. Assists in the coordination of patient care through the appropriate utilization of all resources: staff, equipment, supplies, etc. As an expert to… more
- McLaren Health Care (Flint, MI)
- …resource to both the medical center staff and physician. _Required:_ * Licensed as a Registered Nurse to practice nursing in Michigan * BSN or enrollment in BSN ... management staff. Assists in the coordination of patient care through the appropriate utilization of all resources: staff, equipment, supplies, etc. As an expert to… more
- Trinity Health (Ann Arbor, MI)
- …Practitioner Program with emphasis on area of certification/licensure. **NP Licensure** : Current Registered Nurse and Acute Care Nurse Practitioner license ... managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the NP/PA… 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 (Lansing, MI)
- …needs and community service needs within 24 hours of admission. 2. Receives RN Care Manager referrals to social work based on identified Social Work Triggers ... knowledge of insurance benefits and coverage guidelines to maximize appropriate utilization of resources. 13. Documents in the EMR: assessment, plans, interventions,… more
- McLaren Health Care (Petoskey, 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
- McLaren Health Care (Bay City, MI)
- …7:30 am** **Scheduled Bi-weekly Hours: 72** **Position Summary:** Under supervision of RN preceptor completes patient care assignments within a reasonable length of ... of the patient. **Essential Functions and Responsibilities:** Under supervision of RN preceptor: 1. Completes patient care assignments within a reasonable length… more
- Molina Healthcare (MI)
- …License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Utilization Management Certification ... state health plan's Healthcare Services (clinical operations) teams including Utilization Management (prior-authorization, inpatient review) and Care Management (case/health… more
Recent Jobs
-
IPTW Pipe Welder
- Matrix Service (Los Angeles, CA)
-
Sr. Director of Finance
- NextEra Energy (Juno Beach, FL)
-
Outreach Supervisor (LMSW) - 315 West 35th Street
- Bowery Residents Committee (Manhattan, NY)
-
Electrical Engineer II - Failure Analysis
- Raytheon (Andover, MA)