- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Contingent Days - 2506002318 Description : DMC Sinai-Grace Hospital is DMC's largest hospital, offering a comprehensive heart ... hospitals and physicians throughout the nation. 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
- Molina Healthcare (Detroit, MI)
- …**Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ( LVN ), or Licensed Practical Nurse ... role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate… more
- Molina Healthcare (Ann Arbor, 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
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... collaboration and communication with the Core Team (including the Patient, PACT Provider, RN Care Manager, and Clerk) as well as the Expanded Team (family/caregiver)… more