- Molina Healthcare (Sterling Heights, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Corewell Health (Royal Oak, MI)
- …management, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire required ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
- CenterWell (Grand Rapids, MI)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- CenterWell (Portage, MI)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Humana (Lansing, MI)
- …timeframe **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license, with no disciplinary action ... caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes...Health Provider Disputes based on the business need + Review and extract information from claims + Work in… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …Pine Rest (https://www.pinerest.org/inpatient-services/services/older-adult-inpatient-services/) What Will You Do? As a Registered Nurse at Pine Rest, you'll be ... the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing...assignments and promoting staff development. + Responsible for the utilization and continued review of patient care… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …Pine Rest (https://www.pinerest.org/addiction/treatments/inpatient-treatment-for-dual-diagnosis/) What Will You Do? As a Registered Nurse at Pine Rest, you'll be ... the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing...assignments and promoting staff development. + Responsible for the utilization and continued review of patient care… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …workplace. Principal Duties and Responsibilities: + Works in collaboration with an unrestricted Registered Nurse to provide care to person's served in a dyad ... 90-180 days. What Will You Do? As a Graduate Nurse ( RN ) at Pine Rest, you'll be...person's served centered, compassionate care. + Responsible for the utilization and continued review of patient care… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Nursing Manager is a Registered Nurse who is accountable for leading, managing, developing, supervising, and evaluating the delivery of ... REQUIRED: Current licensure by the Michigan State Board of Nursing as a Registered Nurse . Current BLS or ACLS per Henry Ford Health policy.… more
- Corewell Health (Ludington, MI)
- …clinical nursing experience Required. + 1 year of relevant supervisory experience Required. + MI Registered Nurse ( RN ) Required. + AHA or ARC Basic Life ... supports a culture of safety and maintenance of interprofessional collaborative relationships. Nurse Managers in inpatient and outpatient units are REQUIRED to obtain… more
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