- 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
- Corewell Health (Grand Rapids, MI)
- …+ 1 year of relevant experience Clinical experience in area of specialty Preferred + LIC- Registered Nurse ( RN ) - STATE_MI State of Michigan Upon Hire ... and maintenance of interdisciplinary collaborative relationships. Will provide oversight to the registered nurse and licensed practical nurse clinical… more
- Henry Ford Health System (Troy, MI)
- …trends to identify opportunities for improvement. Meet with appropriate HAP leadership to review utilization trends and reports. + Assist the Clinical Director, ... Director, Appeals and Grievance. Education and Experience Required: + Registered Nurse with current Michigan licensure. +...relevant related experience. + Minimum of two (2) years Utilization Management experience with emphasis on program… more
- AmeriHealth Caritas (Southfield, MI)
- …in Nursing preferred. + 3+ years of clinical experience at the bedside (as a Registered Nurse ) working with medically fragile patients in an acute care, home ... **Licensure:** + Valid driver's license and car insurance. + Current and unrestricted Registered Nurse licensure. + Eligible to sit for Case Management… more
- AmeriHealth Caritas (Southfield, MI)
- …Health preferred + 3+ years of clinical experience at the bedside (as a Registered Nurse ) working with medically fragile patients in an acute care, home ... within a managed care organization, desired. **Licensure** + Current and unrestricted Registered Nurse licensure + Valid driver's license and car insurance.… more
- Evolent (Lansing, MI)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current,… more
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... as it relates to reimbursement and other clinical data quality management for colleague training. Provides quality and productivity monitoring; coordinates and… more
- Munson Healthcare (Traverse City, MI)
- …REGISTRATION Min/Preferred Certification, Licensure, Registration Comments Minimum Licensed as a Registered Nurse in the State of Michigan OTHER REQUIREMENTS ... will be required to be in the role. Preferred Additional education in management principles and teaching is preferred. Preferred Graduate Degree MSN Required 5… more
- Corewell Health (Royal Oak, MI)
- …required. Nurse Practitioner Candidate: + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State ... you join our team at Corewell Health. Job Summary Responsible for the management of reporting APPs and APP supervisors including all activities related to direct… more