- 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 (Howell, 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
- 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
- Corewell Health (Grand Rapids, MI)
- …stakeholders. Also ensures continuity and coordination of services with appropriate utilization of resources. Responsible for stakeholder management across ... requirements as they are updated annually. + QI Measure Review . ACQRs are responsible for reviewing site measure performance...experience + 5 years of Registry and/or Regulatory database management experience + LIC-Registered Nurse (RN) -… more