- 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 ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… 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
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... Michigan RN license is required. **Job Duties** + Facilitates clinical / medical reviews of retrospective medical ...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
- Fresenius Medical Center (Muskegon, MI)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Sandusky, MI)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Clinical Coordinator (RN) - 2506003558 Description : Children's Hospital of Michigan is committed to providing exceptional patient care in a ... development, and work-life balance. The available plans and programs include: * Medical , dental, vision, and life insurance * 401(k) retirement savings plan with… 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
- Henry Ford Health System (Grand Blanc, MI)
- …and documentation issues prior to patient's discharge.| Maintains accurate records of review activities, ensuring reports and outcomes of clinical documentation ... SUMMARY: Facilitates improvement in overall quality, completeness and accuracy of medical record documentation. Completes admission reviews and works closely with… more
- Henry Ford Health System (Grand Blanc, MI)
- …Nurse | Graduate Nurse + Sign on Bonus: $4,500 + Department: Medical ICU + Schedule: Pat-Time, Days - 7am-7:30pm Weekdays &Every 3rd Weekend + Hospital: Henry ... medications, and tests ordered are expeditiously carried out and documented. + Review patient medical record/reports and confers with physician regarding… more
- Trinity Health (Livonia, MI)
- …+ Participates in and supports strategic development and outcomes management of nursing clinical areas. + Responsible for review and evaluation of operations and ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Nurse Manager opportunity with Trinity Health Livonia.** Seeking a Registered Nurse with… more