- Trinity Health (Ann Arbor, MI)
- …travelling between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / ... financing and managed care. Knowledge of and experience in case management and utilization management . Outpatient CDI experience preferred. Knowledge of… more
- Trinity Health (Pontiac, MI)
- …to providing comfort, relieving pain, and alleviating anxiety. 3 Conducts a utilization management assessment on a visit basis to facilitate appropriate ... School of Nursing or equivalent. **B.** **Licensure / Certification** Oncology Certified Nurse (OCN), preferred. Current licensure to practice nursing in the State… more
- Trinity Health (Pontiac, MI)
- …Lean Six Sigma training preferred. + Experience as a Clinical Nurse Specialist preferred. + Experience with current sepsis guidelines preferred. **Special ... sepsis to ensure patients receive appropriate care. + Evaluates and analyzes utilization of treatment protocols for patients experiencing sepsis at SJMO to reduce… more
- CVS Health (MI)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... impact on our members, who are enrolled in Care Management and present with a wide range of complex...or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments… more
- Allegan County (Allegan, MI)
- …vaccine administration, lab draws, culture and urine collection. Education: -Licensed Practical Nurse (LPN) or Associates Degree RN required -Bachelor's Degree ... makes appropriate referrals, utilizing resources + Provides comprehensive case management and coordinates services provided through a multidisciplinary approach… more
- IQVIA (Detroit, MI)
- …client, VERASTEM ONCOLOGY, are seeking top notch candidates for the role of Oncology Nurse Educator.We are partnering to join a fast paced start up launching two ... and engage with healthcare providers (HCP/ APP) to ensure the safe and appropriate utilization of Verastem Oncology products. The primary role of the ONE is to… more
- US Tech Solutions (MI)
- …with regulatory and accreditation guidelines and company policies and procedures **Skills:** + Utilization review + RN + Assure care + Clinical practice + ... and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing… more
- Molina Healthcare (Ann Arbor, MI)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
- AmeriHealth Caritas (Detroit, MI)
- …required. + Bachelor of Science in Nursing preferred. + Current, active, and unrestricted Registered Nurse licensure. + 3 or more years of clinical experience at ... accurate documentation of member interactions in the electronic care management platforms. + Monitor appropriate utilization and...the bedside (as a Registered Nurse ) working with medically fragile patients… more
- McLaren Health Care (Grand Blanc, MI)
- …3. Provides trends and direction to assist front-end processes such as utilization management , clinical documentation improvement, coding, and billing etc. to ... degree in nursing or healthcare related field **.** Current Registered Nurse license in the state of...a Doctor of Medicine Degree **.** **4 years of utilization management , case management , clinical… more
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