- Fresenius Medical Center (Muskegon, MI)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Sandusky, MI)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- McLaren Health Care (Pontiac, MI)
- …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... and directed. #LI-AK1 _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's...the Military Training network (MTN) _Preferred:_ + Experience in utilization management /case management , critical care,… more
- Henry Ford Health System (Detroit, MI)
- The Certified Registered Nurse Anesthetist (CRNA) Manager is a Certified Registered Nurse Anesthetist who ensures the delivery of safe anesthetic patient ... activities in accordance with regulatory and accrediting organizations. . Hires certified registered nurse anesthetists for the department. Accepts input on… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse ( RN ) - Inpatient Community Living Center (CLC), aligned under ... Patient Care Services. Responsibilities Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based care to assigned… more
- CVS Health (Lansing, MI)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …availability will be variable based on staffing needs. What Will You Do? As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes ... ultimately help participants live in a more independent setting. RN Shifts available for pick up are 12 hours,...assignments and promoting staff development. + Responsible for the utilization and continued review of patient care… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …are critically ill and in need of higher level of care. The Registered Nurse - Critical Care/ICU executes position responsibilities that demonstrate leadership, ... conducive to the professional development of health care professionals. The Registered Nurse - Critical Care/ICU evaluates outcomes of evidence-based decisions… more
- Trinity Health (Livonia, MI)
- …of clinical experience in nursing and recent (within 2 year) experience in utilization review / management /discharge planning or case management . Current ... Care Team as a** **Case Manager** **in the Case Management Department awaits YOU ** **_Trinity Health Livonia_** is...criteria. Knowledge of federal, state and local regulation affecting utilization review programs and payments. Knowledge of… more
- Henry Ford Health System (Warren, MI)
- …screening criteria and critical thinking to maximize reimbursement. EDUCATION/EXPERIENCE REQUIRED: + Registered Nurse required. + Minimum 3-5 years of clinical ... required. + Bachelor of Science Nursing required OR four (4) years Case Management / Appeal/ Utilization Management experience in lieu of bachelor's degree.… more
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