- McLaren Health Care (Pontiac, MI)
- …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing from accredited ... **Position Summary:** Responsible for Utilization and Care Management services to the Emergency...on all patients reviewed in the ED. Conducts initial review using InterQual, MCG and other tools, assists provider… more
- Fresenius Medical Center (Mount Pleasant, MI)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Molina Healthcare (Grand Rapids, MI)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Trinity Health (Chelsea, MI)
- …Full time **Shift:** Rotating Shift **Description:** ** Registered Nurse ** **Case Manager** **Department:** Utilization Management **Location:** Chelsea, ... + Tuition Reimbursement **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support our...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all… more
- McLaren Health Care (Petoskey, MI)
- …QUALIFICATIONS REQUIRED + Bachelor's degree in a health-related field + State license as a Registered Nurse ( RN ) + Four years of professional experience in ... equipment purchases. + Fosters smoothly running case management and utilization review services and processes through timely...RN patient care and case management and/or utilization review QUALIFICATIONS PREFERRED + Master's degree… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Contingent Days - 2506001465 Description : DMC Harper University Hospital has distinguished itself in surgery and medicine and is ... hypertension, stroke prevention and heart failure. Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Sharecare (Lansing, MI)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- McLaren Health Care (Lansing, MI)
- …other related duties as required and directed. _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing from accredited ... to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. Reviews current… more
- McLaren Health Care (Port Huron, MI)
- …- 7:30am **Scheduled Bi-Weekly Hours:** 72 **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the nursing ... and verbal communication. + Participates in the resident care review process and assists in establishing resident goals, problem...+ Associates degree from an accredited university + Valid RN licensure from the State of Michigan + CPR… more
- McLaren Health Care (Port Huron, MI)
- …AM- 4:30PM **Scheduled Bi-Weekly Hours:** 80 **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the nursing ... interventions. + Immunization Coordination for residents and staff. Including review of MCIR records. **Qualifications:** Required: + Associates degree from… more