- 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
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... and is determined by employment status Job Description: 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 (Howell, 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 (Flint, MI)
- …meet organizational goals. Assumes responsibility for the clinical administrative aspects of utilization review and case management. Integrates medical ... policies and procedures as well as documentation of the case management and utilization management processes. Responsible...in Nursing, health care or business-related field + Valid RN License in state doing business in + Ten… 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
- McLaren Health Care (Bay City, MI)
- …and to be obtained within three years of accepting position + State licensure as a Registered Nurse ( RN ) + Minimum experience of three years in acute ... or equivalent through the Military Training network (MTN) **_Preferred:_** + Utilization management ( review ) and discharge planning experience. + Certification… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …ineligible to apply. Responsibilities The Nurse I, Level 1 Progressive Care Registered Nurse ( RN ) is responsible and accountable for individual nursing ... and safety of the patient. The Nurse I, Level 2 Progressive Care Registered Nurse ( RN ) is responsible for providing competent, evidence-based care to… more
- McLaren Health Care (Bay City, MI)
- …other related duties as required and directed. _Required:_ + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing from accredited ... Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from...of the healthcare team. 9. Actively participates in clinical case review /rounds with the interdisciplinary team. 10.… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …to the management of complex client care. The Community Living Center (CLC) Registered Nurse ( RN ) executes position responsibilities that demonstrate ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...level degree in Nursing may have opportunity to become registered as a nurse with a state… more