- Molina Healthcare (Warren, MI)
- …member benefits, and medical records to document relevant findings of a post pay clinical review . This position manages documents and prioritizes case load to ... Review of applicable policies, CPT guidelines, and provider contracts. Devise clinical summary post review . Communicate and participate in meetings related… more
- IQVIA (Detroit, MI)
- Internal Job Description Our MedTech Registered Nurse Liaison experiences a unique opportunity and leverage your clinical expertise in a dynamic role that goes ... nurses to assist with pulling pumps as needed. Utilize clinical nursing expertise to answer questions and address concerns...valid driver's license and will be subject to a review of their driving record prior to hire. Personal… more
- CVS Health (Lansing, MI)
- …referrals. Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management. Performs review of member claim history to ... accordance with contract. Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via… more
- Evolent (Lansing, MI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Evolent (Lansing, MI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Henry Ford Health System (Grand Blanc, MI)
- Clinical Staffing Clerk - Nurse Staffing - Full Time Staffing, Flex shifts, 4 PM - 4:30 AM, 4 AM - 4:30 PM, Every other weekend Schedule:Full Time Staffing, Flex ... Ford Genesys Location: Grand Blanc, Michigan GENERAL SUMMARY: + Review and assist with daily clinical staffing...+ Organization: Henry Ford Health Genesys Hospital + Department: Nurse Staffing 001 + Shift: Rotating + Union Code:… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Clinical Coordinator (RN) - ER - 2506002215 Description : **Up to $10,000 Sign on Bonus, based on relevant experience** DMC Sinai-Grace Hospital ... and physicians throughout the nation. Summary Description In addition to the staff nurse role, assumes shift responsibilities for the care delivery team. Assists in… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Clinical Coordinator (RN) - Operating Room - 2406002496 Description : **Up to $10,000 Sign on Bonus, based on relevant experience** DMC ... and physicians throughout the nation. Job Summary In addition to the staff nurse role, assumes shift responsibilities for the care delivery team. Assists in… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Clinical Coordinator (RN) - Telemetry - 2506003734 Description : **Up to $25,000 Sign on Bonus, based on relevant experience** DMC Sinai-Grace ... is determined by employment status Summary Description In addition to the staff nurse role, assumes shift responsibilities for the care delivery team. Assists in… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Clinical Coordinator (RN) - ER - 2506002875 Description : **Up to $10,000 Sign on Bonus, based on relevant experience** Children's Hospital of ... - Troy and six ambulatory sites. Job Summary In addition to the staff nurse role, assumes shift responsibilities for the care delivery team. Assists in coordinating… more
