- McLaren Health Care (Port Huron, MI)
- …as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate ... for timeliness, appropriateness and completeness as pertains to the utilization management process including level of care,...and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in… more
- Cognizant (Lansing, MI)
- …- Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management experience with managed health care plan + 3 years' experience in ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- McLaren Health Care (Flint, MI)
- …to help people live healthier and more satisfying lives. We are looking for a Utilization Management RN, to join in leading the organization forward. MHP is a ... service to all our members. **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited to… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse (RN) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... for case management scope of services including: Utilization Management supporting medical necessity and denial... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse (RN) for a Community Living Center (CLC) position aligned under ... more information, refer to Required Documents below. Responsibilities The Community Living Center Registered Nurse (RN) will be assigned to the Community Living… more
- Tenet Healthcare (Detroit, MI)
- …Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a ... national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Registered Nurse (RN) to join the Progressive Care Team, located in Ann Arbor, Michigan. The ... Progressive Care Registered Nurse (RN) is responsible for providing...orientation, competencies and providing quality improvement and enhance outcomes utilization . Provides direct care for acutely ill patients who… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- Summary The Endoscopy Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management ... of Endoscopy experience; Pre/Post and Intraoperative areas. Duties: The Endoscopy Registered Nurse (RN) Collaborates in the development, implementation,… more
- Veterans Affairs, Veterans Health Administration (Iron Mountain, MI)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... will need a Credentials Evaluation in order to be considered for boarding above a Nurse I Level 3. Registered nurses who require a credentials evaluation can… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- … management of complex client care. The Emergency Department (ED) Registered Nurse (RN) executes position responsibilities that demonstrate leadership, ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more