- 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
- Hospice of Michigan (Southfield, MI)
- …CARE Model of Service: courtesy, acknowledgement, response and empathy. Qualifications: + Registered Nurse with a baccalaureate degree in nursing, preferably a ... work with minimal supervision. + Requires knowledge of quality assessment and utilization review functions, principles and practices. + Theoretical and practical… 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
- Trinity Health (Ann Arbor, MI)
- …managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the ... emphasis on area of certification/licensure. **NP Licensure** : Current Registered Nurse and Nurse Practitioner...implements medical and nursing plans of care for acute management of all ENT, Urology, and Plastic surgery (inpatient,… more
- Trinity Health (Livonia, MI)
- … and trouble shooting + Makes a manual requisition for patient orders for Registered Nurse approval during emergencies, codes and downtime. + Maintains unit ... access, retrieve and print reports from Quest/Vista. + Obtain, review and correct errors per error report(s) or upon...or upon request. + Refer to the Department Charge Management Manual for authoritative and department specific processes and… 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
- US Tech Solutions (MI)
- …compliance with regulatory and accreditation guidelines and company policies and procedures **Skills:** + Utilization review + RN + Assure care + Clinical ... + Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines… more
- Highmark Health (Lansing, MI)
- …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year ... + In-depth knowledge of the pharmacy industry, including benefit design, formulary management , and pharmacy best practices. + Proven ability to interpret and analyze… more
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