- The Laurels of Fulton (St. Johns, MI)
- Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan ... coordination for guests. The MDS Coordinator supervises the Care Management Nurse, MDS Nurse.The Laurels of Fulton offers one of the leading employee benefit… more
- Behavioral Center of Michigan (Warren, MI)
- Under general supervision, the Utilization Review Coordinator provides professional assessment, planning, coordination, implementation and reporting of ... clinical data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records clinical… more
- Tenet Healthcare (Detroit, MI)
- …of care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. (5% daily, ... RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing ... Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES +...RESPONSIBILITIES + Monitor incoming faxes + Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS… more
- Corewell Health (Royal Oak, MI)
- …patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2. ... years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + Registered… more
- Henry Ford Health System (Troy, MI)
- …Registered Nurse! We are a team of Registered Nurses (3 and counting) and Utilization Review Coordinators (4) that review appeals for medical necessity ... RN PROVIDER APPEALS COORDINATOR - MEDICAL APPEALS - 40 HOURS WEEKLY...(RN) with current Michigan licensure. PREFERRED EXPERIENCE: + Prior Utilization review experience in a health insurance… more
- Wayne State University (Detroit, MI)
- Facility Coordinator I- Chemistry Wayne State University is searching for an experiencedFacility Coordinator I- Chemistryat its Detroit campus location. Wayne ... in a global society. Essential functions (job duties): Oversee and coordinate space utilization and support services for a unit in the University to ensure staffing… more
- Behavioral Center of Michigan (Detroit, MI)
- …patients' information, including their insurance information in conjunction with Billing and Utilization Review , and ensures that the patients receive their ... The Admitting Coordinator is responsible for signing in patients at the time of their admission to the hospital. In addition, admitting staff verifies… more
- US Courts (Detroit, MI)
- …management team. Design space and furniture plans to optimize space utilization . Use Computer-Aided Drafting (CAD) and Building Information Modeling (BIM) experience ... design standards of the GSA to determine the best course of action. Manage, review , and accept work performed by court and GSA consultants hired to address building… more
- SpartanNash (Wyoming, MI)
- …by the Company. + Generate various reports (ie store sales, prescription drug utilization , inventory, etc.) and review with pharmacy operations to assist stores ... Summary:** This role is responsible to participate in the review and compliance of pharmacy operations and provide training...personnel. **Here's what you'll do:** + Participate in the review and compliance of pharmacy operations. + Conduct store… more
