- Molina Healthcare (Detroit, MI)
- JOB DESCRIPTION Job Summary The Care Review Clinician RN provides support for clinical member services review assessment processes. Responsible for ... experience. Candidates with MCO experience are highly preferred. The Care Review Clinician must be...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Sterling Heights, MI)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Detroit, MI)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Ann Arbor, MI)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Sterling Heights, MI)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Sterling Heights, MI)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Common Ground (Bingham Farms, MI)
- …occasionally within the community Qualifications Licensure + Active, unrestricted Michigan license as a Registered Nurse ( RN ) in the state of Michigan OR ... area emergency departments and other emergency responders, Behavioral Health Urgent Care (BHUC), and other local crisis providers. Additionally, this position will… more
- CVS Health (Lansing, MI)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills and… more
- University of Michigan (Ann Arbor, MI)
- RN - Quality Improvement Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first ... that directly relate to this position. **Job Summary** Are you an experienced clinician with a passion for quality improvement? If you thrive in a fast-paced,… more
- Intermountain Health (Lansing, MI)
- …your growth** -with many career paths to explore, like Medical Assistant Senior, Registered Nurse , Practice Manager, and more! + **Intermountain offers employees ... be the same hours. **Unit/Location:** TOSH **Additional Details:** Please review Minimum Qualifications listed below before applying. This position...the best care by:** + **Providing Patient Care :** Under the direction of the Clinician ,… more