- McLaren Health Care (Petoskey, MI)
- …and minor equipment purchases. + Fosters smoothly running case management and utilization review services and processes through timely and effective resolution of ... the selection, development, training, and evaluation of case management and utilization review services staff. + Maintains professional and technical knowledge by… more
- Molina Healthcare (Sterling Heights, MI)
- …State Plan. **JOB QUALIFICATIONS** **Required Education** Any of the following: Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a ... experience. **Required License, Certification, Association** Active, unrestricted Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) license… more
- Henry Ford Health System (Troy, MI)
- …Plan (HAP) is looking to grow our Medical Appeals Team with an experienced Registered Nurse ! We are a team of Registered Nurses (3 and counting) and Utilization ... investigating Provider Appeal requests and Code Review inquiries for all Utilization Management divisions, including delegated entities. + Summarize outcome of… more
- Select Medical (Ypsilanti, MI)
- …(PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state ... what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan...**Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current… more
- Corewell Health (Grand Rapids, MI)
- …able to provide care for long term care residents and post-acute rehab patients. Nurse -patient ratios vary depending on the shift and the population you will be ... and a menu-based meal service is provided. Scope of work Registered Nurse (RN) Delivers nursing care responsibly and accountably as described professionally by… more
- Corewell Health (Grand Rapids, MI)
- …by an onsite art room and dialysis den. Scope of work Registered Nurse (RN) Delivers nursing care responsibly and accountably as described professionally by the ... and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes. Licensed… more
- Corewell Health (Grand Rapids, MI)
- …by an onsite art room and dialysis den. Scope of work Registered Nurse (RN) Delivers nursing care responsibly and accountably as described professionally by the ... and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes. Licensed… more
- Molina Healthcare (Detroit, MI)
- …role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate with ... **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse (RN), Licensed Vocational Nurse (LVN), or Licensed Practical… more
- Erickson Living (Novi, MI)
- …such as Falls, Pressure Ulcers, Medication Errors, Restraint Utilization , Re-hospitalization, Anti-psychotic utilization , ADL splits/documentation, etc. ... leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review, and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee +… more
- Corewell Health (Grand Rapids, MI)
- …on our team as we work collectively to provide care. Additional unique skills that nurse hired to 3D will learn include utilization of the NIHSS Stroke Scale. ... practice and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes. How… more