- Corewell Health (Dearborn, MI)
- …+ Savings & retirement plans, disability insurance, identify theft protection and even home and auto insurance + Free onsite parking Essential Functions + ... Utilization of a high degree of discriminative judgement while...a high degree of discriminative judgement while providing medical management including assessment of medical and psychosocial status, comprehensive… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …working together to help patients build functional skills for successful reintegration into home , school, and community settings. What Will You Do? As a Registered ... Nurse at Pine Rest, you'll be part of tight-knit...the teaching of persons' served families, and provides milieu management . Communicates with and educates persons' served families/significant others… more
- US Tech Solutions (MI)
- …and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing ... members needs to ensure appropriate administration of benefits + Utilizes case management and quality management processes in compliance with regulatory and… more
- Fresenius Medical Center (Adrian, MI)
- …Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: * Utilization Management supporting medical necessity and denial prevention * Transition ... insurance, long term care, elder & childcare, auto & home insurance. Note: Eligibility for benefits may vary by...b) leads the implementation and oversight of the hospital Utilization Management Plan using data to drive… more
- Corewell Health (Grand Rapids, MI)
- … leadership, coordinates the educational plan for the Behavioral Health, Care Management , and Utilization Management departments. Stakeholders include staff, ... Registered Nurse OR Social Worker Scope of work: In...Reports to either a Director of Behavioral Health, Care Management , or Utilization Management with… more
- Corewell Health (Dearborn, MI)
- …+ 3 years of relevant experience Three to five years' experience in care management , utilization review, home care and/or discharge planning. Preferred + ... of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate… more
- Corewell Health (Royal Oak, MI)
- …+ 3 years of relevant experience Three to five years' experience in care management , utilization review, home care and/or discharge planning. Preferred + ... of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate… more
- Molina Healthcare (Detroit, MI)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- Corewell Health (Southfield, MI)
- …bed placement and transfers based on urgency of patient's condition and utilization of available beds. + Plan, prioritize and direct patient placement requests ... use of EPIC applications as they pertain to Bed Management . + Delegate tasks as indicated for patient placement....critical care, emergency and urgent care. Required + Registered Nurse (RN) -State of Michigan Upon Hire required How… more
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