- Cognizant (Lansing, MI)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and… more
- Molina Healthcare (Detroit, MI)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... resource for utilization management, chief medical officers, physicians and member/provider inquiries/ appeals . * Provides training and support to clinical peers.… more
- Molina Healthcare (Warren, MI)
- …resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. **Job Summary** Utilizing clinical knowledge… more
- Henry Ford Health System (Troy, MI)
- …to add to our clinical Training & Compliance team with an experienced Registered Nurse ! In this role, you are responsible for Health Care Management division ... those explicitly described above. EXPERIENCE REQUIRED: + Associate degree in Nursing + Registered Nurse with a valid, unrestricted State of Michigan license +… more
- Corewell Health (Royal Oak, MI)
- …criteria, when appropriate. Works collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization ... Level II pediatric trauma designations. The advanced capabilities and clinical expertise within this center have earned it Magnet...utilization review, home care and/or discharge planning. Preferred + Registered Nurse (RN) - State of Michigan… more
- Corewell Health (Dearborn, MI)
- …criteria, when appropriate. Works collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization ... care management, utilization review, home care and/or discharge planning. Preferred + Registered Nurse (RN) - State of Michigan Upon Hire required How Corewell… more