- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- CenterWell (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's… more
- CVS Health (MI)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... communication skills, both verbal and written **Required Qualifications** - 2 + years of experience as a Registered Nurse...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
- CenterWell (Lansing, MI)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …the appropriate individual based upon assessed needs, condition, and safety of the patient. The Nurse I, Level 2 Progressive Care Registered Nurse (RN) is ... education, orientation, competencies and providing quality improvement and outcomes utilization . Practice includes directing other providers. Partners with the...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… 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 (RN) - Case Manager - 2506003285 Description...q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... and/or supervising direct patient care. The incumbent provides case management of care activities for post 9/11 service members...equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... that demonstrates leadership, experience, and creative approaches to the management of program aspects. The PM demonstrates performance and...equivalent to the Nurse I, Level 2 ; OR a Master's… more
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