- 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 ... Practitioner Program with emphasis on area of certification/licensure. **NP Licensure** : Current Registered Nurse and Nurse Practitioner license in the… more
- US Tech Solutions (MI)
- …compliance with regulatory and accreditation guidelines and company policies and procedures **Skills:** + Utilization review + RN + Assure care + Clinical ... + Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines… more
- CenterWell (Lansing, MI)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...on excellent service to others. **Required Qualifications** + Active RN license + Possession of or ability to obtain… more
- CenterWell (Lansing, MI)
- …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain… more
- Henry Ford Health System (Troy, MI)
- RN REGISTERED NURSE SUPERVISOR (VIRTUAL) - PRIOR AUTHORIZATIONS - 40 HOURS - DAY SHIFT Full Time Benefit Eligible Schedule: Monday through Friday, 8:00AM to ... Experience in managing resources required. + Trainer/preceptor experience required. + Registered Nurse - Michigan licensure required. Additional Information +… more
- Molina Healthcare (MI)
- …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
- Corewell Health (Grand Rapids, MI)
- …Nursing experience + 5 years of Registry and/or Regulatory database management experience + LIC- Registered Nurse ( RN ) - State of Michigan upon hire Preferred ... requirement for meetings or events. We are seeking a highly skilled and detail-oriented RN Clinical Database Specialist to join our team with a primary focus on… more
- Corewell Health (Niles, MI)
- …and other health professionals + Successful completion of competency based orientation program + LIC- Registered Nurse ( RN ) - STATE_MI State of Michigan Upon ... in Wound, Ostomy and Continence Nursing. This includes effective utilization of workforce, equipment, and supplies. Develops interdisciplinary relationships to… more
- Tenet Healthcare (Commerce Township, MI)
- …discharge planning experience. Preferred: Acute hospital case management experience. Required: RN . Must be currently licensed, certified, or registered to ... RN Case Manager Clinical Res Mgmt Contingent Days...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and… more
- Corewell Health (Grand Rapids, MI)
- …+ 1 year of relevant experience Clinical experience in area of specialty Preferred + LIC- Registered Nurse ( RN ) - STATE_MI State of Michigan Upon Hire ... and maintenance of interdisciplinary collaborative relationships. Will provide oversight to the registered nurse and licensed practical nurse clinical… more