- Molina Healthcare (Ann Arbor, MI)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… more
- Molina Healthcare (MI)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. Experience… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Nursing Admin Full Time Nights - 2506002697 Description : **Up to $10,000 Sign on Bonus, based on relevant experience** DMC Detroit Receiving ... and accredited DMC Rosa Parks Geriatric Center of Excellence. SUMMARY The Registered Nurse (RN) is a member of the Patient Care Services Team. The Registered… more
- Henry Ford Health System (Detroit, MI)
- …resources to optimize patient outcomes and promote efficient resource utilization . Key Responsibilities: Clinical Care Coordination: + Conduct comprehensive patient ... to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse (RN) with active licensure + Minimum [number] years of clinical experience… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …overall care. Responsibilities VA Careers - Licensed Practical Nurse : https://youtube.com/embed/Ae85IP1Oiz4Total Rewards of a Allied Health Professional Licensed ... Practical Nurse - vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf Responsible for performing pre visit phone calls to prepare the… more
- ChenMed (Detroit, MI)
- …expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic triage directional patient care ... within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the interdisciplinary care plan… more
- Evolent (Lansing, MI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- McLaren Health Care (Mount Clemens, MI)
- …after surgical procedures and monitoring cardiac status. **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the ... is a great option for a new or seasoned nurse that would like to gain experiences pertaining to...accredited Nursing program. + Current State of Michigan Registered Nurse license + BLS card from AHA required before… more
- McLaren Health Care (Lake Orion, MI)
- …implements appropriate process from admission to discharge. **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of ... services to help you achieve your goals." The Registered Nurse is responsible for the quality of resident care...accredited Nursing program * Current State of Michigan Registered Nurse license * BLS certification **Preferred:** * Bachelor's Degree… more
- Prime Therapeutics (Lansing, MI)
- …drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing referral ... Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt...Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing criteria. + At minimum… more