- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case ...dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as...required. One (1) year hospital acute or behavioral health case management experience preferred. Active and valid RN… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- Trinity Health (Livonia, MI)
- …clinical experience in nursing and recent (within 2 year) experience in utilization review /management/discharge planning or case management. Current ... Opportunity to Join our Remarkable Care Team as a** ** Case Manager** **in the Case Management Department...criteria. Knowledge of federal, state and local regulation affecting utilization review programs and payments. Knowledge of… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager ( RN ) - 2506003132 Description : DMC Detroit Receiving Hospital , Michigan's first Level I Trauma Center, helped pioneer the ... Rosa Parks Geriatric Center of Excellence. Job Summary The RN Case Manager is responsible to facilitate...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Trinity Health (Ann Arbor, MI)
- …6-8 weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case… more
- McLaren Health Care (Port Huron, MI)
- …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... **Department:** Utilization Review **Daily Work Times:** 8:00am-4:30pm...peer reviews with payer/providers. 7. Actively participates in clinical case review /rounds with the interdisciplinary team regarding… more
- McLaren Health Care (Bay City, MI)
- …duties as required and directed. #LI-LM1 **Qualifications:** _Required_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... peer to peer reviews with payer/providers. 7. Actively participates in clinical case review /rounds with the interdisciplinary team regarding continued stays … more
- CVS Health (Lansing, MI)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Veterans Affairs, Veterans Health Administration (Iron Mountain, MI)
- Summary The Nurse Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for executing a streamlined approach to receiving, triaging, and ... strategies to sustain an evidence-based-practice culture. Preferred Experience: 2 years of Registered Nurse and Case Management/Care coordination experience… more
- Corewell Health (Caledonia, MI)
- …acute care, clinical nursing, preferably multiple clinical settings, or related experience Required + Registered Nurse ( RN ) - State of Michigan required How ... Must live in MICHIGAN and have MICHIGAN RN LICENSE Scope of Work: Provides health information, interacts and acts as a resource for nursing units for complex… more
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