- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Molina Healthcare (Grand Rapids, MI)
- … RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of training… more
- Trinity Health (Chelsea, MI)
- …**Shift:** Rotating Shift **Description:** ** Registered Nurse ** **Case Manager ** **Department:** Utilization Management **Location:** Chelsea, MI ... **Minimum pay rate:** $38.77-52.32/hr + based upon RN license date and applicable experience **Why Join Us?**...+ Tuition Reimbursement **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to… 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 operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Trinity Health (Livonia, MI)
- …qualifications** + Graduate of an approved nursing education program + Licensure as a Registered Nurse in the State of Michigan + One (1) year experience ... the physician, and in accordance to the organization's policies and procedures. The RN is responsible for the initial assessment and care plan development in… more
- Henry Ford Health System (Detroit, MI)
- …and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a valid, unrestricted State of Michigan ... available for qualified experienced candidates with current 2 years RN Case Management in a large acute...large acute care hospital setting. GENERAL SUMMARY: The Case Manager - RN plays a pivotal role in coordinating… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager ...for case management scope of services including: Utilization Management supporting medical necessity and denial ... q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Fresenius Medical Center (Lansing, MI)
- …accounting department. + Acts as the Facility Manager in the absence of the manager or at the direction of management . + Ensure nurses' progress notes are ... **PURPOSE AND SCOPE:** Works with the Facility Manager , facility staff and physician to coordinate the facility operations and patient procedures to ensure provision… more
- Henry Ford Health System (Detroit, MI)
- The Certified Registered Nurse Anesthetist (CRNA) Manager is a Certified Registered Nurse Anesthetist who ensures the delivery of safe anesthetic ... activities in accordance with regulatory and accrediting organizations. . Hires certified registered nurse anesthetists for the department. Accepts input on… more
- McLaren Health Care (Bay City, MI)
- …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... Standard Operating Procedure (SOP). #LI-LM1 **Qualifications:** **_Required_** + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing… more