• Case Manager / PRN ( RN / RT / SW / LPN )

    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
    Select Medical (08/27/24)
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  • MDS Nurse

    Ciena Healthcare (Detroit, MI)
    …Assessment Coordinators (AANAC) requirements. Qualifications: + Registered Nurse , RN or Licensed Practical Nurse + AANC certification a plus. RAC-CT ... values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse , MDS Nurse works...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management more
    Ciena Healthcare (08/30/24)
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  • MDS Nurse

    Ciena Healthcare (Detroit, MI)
    …Nursing Assessment Coordinators (AANAC) requirements. **Qualifications** + Registered Nurse or Licensed Practical Nurse + AANC certification a plus. ... values communication and strong teamwork abilities. **Responsibilities** The Care Management Nurse , MDS Nurse works...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management more
    Ciena Healthcare (08/09/24)
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  • Ops-UM Training Specialist

    Integra Partners (Troy, MI)
    …and leaders to design individual training plans to help improve employee performance EDUCATION: + Licensed Practical Nurse ( LPN ) or Licensed ... Integra Partners is seeking an experienced nurse educator to join our Operations Training &...experience preferred in a training environment. + Knowledge and practical experience with Utilization Management more
    Integra Partners (08/10/24)
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  • Community Care Nurse

    ChenMed (Detroit, MI)
    …and evaluate individual patient care plans. + Ability to work as oversight for License Practical Nurse ( LPN ) for initial assessments, plan of care and ... great people to join our team. The Community Care Nurse is responsible for enhancing the quality of patient...cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The… more
    ChenMed (08/02/24)
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  • MDS Coordinator

    Ciena Healthcare (West Bloomfield, MI)
    …Nursing Assessment Coordinators (AANAC) requirements. Qualifications + Registered Nurse (RN) or Licensed Practical Nurse ( LPN ) licensure + AANC ... coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . At...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management more
    Ciena Healthcare (09/04/24)
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  • Appeals & Grievance Analyst (Hybrid - Troy, MI)…

    Henry Ford Health System (Troy, MI)
    …medical terminology. CERTIFICATIONS/LICENSURES REQUIRED: + Minimum of two (2) years of experience as a Licensed Practical Nurse ( LPN ) in the State of ... experience . + Minimum of two (2) years of experience working on utilization management platform-processing authorizations. + Minimum of two (2) years of… more
    Henry Ford Health System (08/15/24)
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  • RN Case Manager FT Days Sign on Bonus available

    Tenet Healthcare (Detroit, MI)
    …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition ... underutilization, q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements and… more
    Tenet Healthcare (09/05/24)
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