- Centene Corporation (Lansing, MI)
- …in either central or eastern time zone with experience in mental health settings and utilization management / review . * Department: PHCO BH UM supporting IL ... abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
- Corewell Health (Southfield, MI)
- …degree. + Preferred Bachelor's Degree in nursing or related field. + Hospital utilization review / utilization management experience. Preferred + Clinical ... Scope of Work This role includes accountability for utilization review (UR) and may include...2 years of experience in clinical/hospital setting. Required + Registered Nurse ( RN ) - State… more
- University of Michigan (Ann Arbor, MI)
- …as Allscripts + Participate in venues to reduce barriers to discharge ** Utilization Review and Utilization Management ** + Conduct clinical review on ... RN CASE MANAGER: University Hospital (Care Management...is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a… more
- Henry Ford Health System (Detroit, MI)
- …+ Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of ... available for qualified experienced candidates with current 2 years RN Case Management in a large acute...work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- McLaren Health Care (Pontiac, MI)
- …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing from accredited ... needs in EMR for continued communication with ICM UM RN and Care Management staff 7. Assesses..._Preferred:_ + Bachelor's degree in nursing + Experience in utilization management /case management /clinical documentation, critical… more
- Corewell Health (Royal Oak, MI)
- …, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire required ... all hospitalized patients. 1. Identifies patients that need care management services (ie utilization review ;...accredited school of nursing. + Preferred Will consider non-BSN RN if actively pursuing a bachelor's degree in nursing… more
- Corewell Health (Dearborn, MI)
- …management , utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... all hospitalized patients. + Identifies patients that need care management services (ie utilization review ;...accredited school of nursing. + Required Will consider non-BSN RN if actively pursuing a Bachelors degree in nursing… more
- Molina Healthcare (Grand Rapids, MI)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing....Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more
- Trinity Health (Howell, MI)
- …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
- Molina Healthcare (Detroit, MI)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing....Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more