- Tenet Health (Detroit, MI)
- …standards. The individual in this position has overall responsibility for hospital utilization management , transition management and operational ... plan across multiple hospitals. They are a leader, mentor, consultant , and subject matter expert regarding case management...Downgrades *Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive… more
- CVS Health (Lansing, MI)
- …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and… more
- CVS Health (Lansing, MI)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
- Tenet Healthcare (Detroit, MI)
- …standards. The individual in this position has overall responsibility for hospital utilization management , transition management and operational ... plan across multiple hospitals. They are a leader, mentor, consultant , and subject matter expert regarding case management...· Lead the implementation and oversight of the hospital Utilization Management Plan using data to drive… more
- Corewell Health (Benton Harbor, MI)
- …development. Supervises within established clinical quality standards and quality management plan protocols. Essential Functions - Supervisor, Center for Better ... of care. Reports problems with providers to provider relations or management staff. Assures clinical staff compliance with credentialing requirements and monitors… more
- Munson Healthcare (Traverse City, MI)
- …will be required to be in the role. Preferred Additional education in management principles and teaching is preferred. Preferred Graduate Degree MSN Required 5 ... Min/Preferred Certification, Licensure, Registration Comments Minimum Licensed as a Registered Nurse in the State of Michigan OTHER REQUIREMENTS . For those… more
