- Trinity Health (Chelsea, MI)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** **Registered Nurse ** **Case Manager** **Department:** Utilization Management ... population through the use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of the health… more
- Trinity Health (Chelsea, MI)
- **Employment Type:** Part time **Shift:** Rotating Shift **Description:** **Registered Nurse ** **Case Manager** **Department:** Utilization Management ... population through the use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of the health… more
- Corewell Health (Royal Oak, MI)
- …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 ... and implementation performance evaluations, OPPE/FPPE, etc. Represents APPs to outside review services such as Joint Commission, American College of Surgeons etc.… more
- Erickson Living (Novi, MI)
- …clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management /Safety ... clinical practice and processes in accordance with the Erickson Senior Living Management Policies and Procedures and nursing standards of practice. + Ownership of… 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 ... Education** : Master's Degree in clinical nursing from an accredited Nurse Practitioner Program with emphasis on area of certification/licensure. **NP Licensure**… more
- Corewell Health (Grand Rapids, MI)
- …with the following: department based goal setting, program development, fiscal management , resource allocation, standards of care, policy and procedure development ... of interdisciplinary collaborative relationships. Will provide oversight to the registered nurse and licensed practical nurse clinical practices. Will… more
- Trinity Health (Livonia, MI)
- …as it relates to reimbursement and other clinical data quality management for colleague training. Provides quality and productivity monitoring; coordinates and ... specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work assignments… more
- AmeriHealth Caritas (Southfield, MI)
- …complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable + Monitor appropriate utilization and ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- Molina Healthcare (Detroit, MI)
- **Job Summary** **_For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** Provides ... claims data to ensure appropriate payment levels, optimize resource utilization , and maintain compliance with state and federal laws....focus on promoting the quality, accuracy, and efficiency of review services. + Serve as a resource and subject… more
- Munson Healthcare (Traverse City, MI)
- …will be required to be in the role. Preferred Additional education in management principles and teaching is preferred. Preferred Graduate Degree MSN Required 5 ... Min/Preferred Certification, Licensure, Registration Comments Minimum Licensed as a Registered Nurse in the State of Michigan OTHER REQUIREMENTS . For those… more