- Integra Partners (Troy, MI)
- …other duties as assigned EDUCATION: Active, Licensed Vocational Nurse , or Licensed Practical Nurse license EXPERIENCE: + Minimum of 3 years of ... Integra is looking for a LPN /LVN experienced in the managed care payor environment...managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will… more
- Henry Ford Health System (Troy, MI)
- …+ Excellent verbal and written communication skills preferred. CERTIFICATIONS/LICENSURES REQUIRED: + Licensed Practical Nurse - LPN preferred. + ... manager to provide administrative, operational, and organizational support for the Utilization Management teams. PRINCIPLE DUTIES AND RESPONSIBILITIES: +… more
- Select Medical (Pontiac, MI)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...**Current licensure in a clinical discipline either as a Nurse (RN / LPN / LVN)or a Respiratory Therapist… more
- Molina Healthcare (MI)
- …of relevant education and experience. + Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ). The license must be active and ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint… more
- Datavant (Lansing, MI)
- …it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG ... knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered...Excel, Outlook, experience working in a health plan medical management documentation system a plus. Minimum Education: LVN/ LPN… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition ... Registered Nurse Case Manager (RN) - 2506003132 Description :...q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements… more
- Molina Healthcare (Detroit, MI)
- …experience. + Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse ( LPN ), Advanced Practice Social Worker (APSW), ... years in one or more of the following areas: utilization management , care management , care...Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical… more
- Molina Healthcare (Sterling Heights, MI)
- …experience. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse ( LPN ), Advanced Practice Social Worker (APSW), ... years in one or more of the following areas: utilization management , care management , care...Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical… more
- McLaren Health Care (Mount Pleasant, MI)
- …required and directed. **Qualifications:** **_Required:_** + Registered Health Information Technician (RHIT), Licensed Practical Nurse ( LPN ), hospital ... education sessions to maintain competency and knowledge of regulations in denials, utilization management , care management , clinical documentation, and… more
- Select Medical (Mount Clemens, MI)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... current licensure in a clinical discipline either as a Nurse (RN/ LPN /LVN) or a Respiratory Therapist (RT)...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more