- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …Pine Rest (https://www.pinerest.org/inpatient-services/services/older-adult-inpatient-services/) What Will You Do? As a Registered Nurse at Pine Rest, you'll be ... staff assignments and promoting staff development. + Responsible for the utilization and continued review of patient care protocols, standards… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …Pine Rest (https://www.pinerest.org/addiction/treatments/inpatient-treatment-for-dual-diagnosis/) What Will You Do? As a Registered Nurse at Pine Rest, you'll be ... the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing...assignments and promoting staff development. + Responsible for the utilization and continued review of patient care… more
- Prime Healthcare (Port Huron, MI)
- …Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and ... computer skills. Preferred qualifications: 1. Healthcare professional licensure required as Registered Nurse , Licensed Clinical Social Worker (LCSW), or Licensed… more
- Sharecare (Lansing, MI)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- Deloitte (Detroit, MI)
- …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN , Quality, DRG Validation and… more
- Munson Healthcare (Traverse City, MI)
- …degree in nursing (must have RN license or social work license). If Registered Nurse , must be licensed to practice in Michigan. Also, for those hired ... skills at all times. + Maintains working knowledge/experience in utilization management , managed care, and payer issues...progress of completing complex post-acute services + Interface with utilization review specialists to stay current on… more
- Datavant (Lansing, MI)
- …job function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of...expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …workplace. Principal Duties and Responsibilities: + Works in collaboration with an unrestricted Registered Nurse to provide care to person's served in a dyad ... 90-180 days. What Will You Do? As a Graduate Nurse ( RN ) at Pine Rest, you'll be...person's served centered, compassionate care. + Responsible for the utilization and continued review of patient care… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Nursing Manager is a Registered Nurse who is accountable for leading, managing, developing, supervising, and evaluating the delivery of ... In conjunction with the Administrator, assumes responsibility for fiscal management of clinic/department. This position helps to run clinics...by the Michigan State Board of Nursing as a Registered Nurse . Current BLS or ACLS per… more
- Highmark Health (Lansing, MI)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more