- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible ... Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Adult Services Full Time Days - 2406003328 Description : **$15,000 Sign on Bonus, with required relevant experience** DMC Harper ... for case management scope of services including: Utilization Management supporting medical necessity and denial... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- McLaren Health Care (Clarkston, MI)
- …**Scheduled Bi-Weekly Hours:** **Daily Work Times:** **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the ... Degree from an accredited Nursing program + Current State of Michigan Registered Nurse license + BLS certification **Preferred:** + Bachelor's Degree in Nursing… more
- Henry Ford Health System (Detroit, MI)
- …while working in a fun and dynamic environment? Join our team as a Registered Nurse (RN) Case Manager! Who We're Looking For: Passionate, compassionate, and ... **NEWLY ENHANCED PAY RATES** Inpatient Case Management Recent RN Inpatient Care Experience in a...new dyad Social Work/RN Case Manager model and remote utilization review setup, allowing you to excel in your… more
- McLaren Health Care (Detroit, MI)
- …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... Standard Operating Procedure (SOP). **Qualifications:** **Required** * State licensure as a Registered Nurse (RN) * Bachelor's degree in nursing from accredited… more
- Henry Ford Health System (Detroit, MI)
- …+ Two (2) years of Access Transfer Management Office and/or Utilization Review experience. + Previous charge nurse and/or leadership experience preferred. ... Would you like to speak with a Nurse Recruiter? (https://outlook.office365.com/owa/calendar/###@henryfordhealthsystem.onmicrosoft.com/bookings/) At Henry Ford Hospital, all… more
- R1 RCM (Detroit, MI)
- …schedule with some weekend requirement throughout the month. **Required Skills:** + Active Registered Nurse license For this US-based position, the base pay ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our hospital… more
- Trinity Health (Pontiac, MI)
- …to providing comfort, relieving pain, and alleviating anxiety. + Conducts a utilization management assessment on a visit basis to facilitate appropriate ... School of Nursing or equivalent. B. Licensure / Certification + Oncology Certified Nurse (OCN), preferred. + Current licensure to practice nursing in the State of… more
- Fresenius Medical Center (Madison Heights, MI)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- ChenMed (Detroit, MI)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State of employment required. + A minimum of ... people to join our team. * The Acute Care Nurse is responsible for achieving positive patient outcomes, managing...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
- Ciena Healthcare (Detroit, MI)
- …hard-working team that values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse , MDS Nurse works the RAI process and ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management...Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications: + Registered Nurse , RN or Licensed Practical … more
- Ciena Healthcare (Detroit, MI)
- …hard-working team that values communication and strong teamwork abilities. **Responsibilities** The Care Management Nurse , MDS Nurse works the RAI process ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management...Association of Nursing Assessment Coordinators (AANAC) requirements. **Qualifications** + Registered Nurse or Licensed Practical Nurse… more
- Henry Ford Health System (Detroit, MI)
- …on Certification of Physician Assistants (NCCPA) OR master's prepared Advanced Practice Registered Nurse with NP board certification in their chosen specialty. ... on Certification of Physician Assistants (NCCPA) OR master's prepared Advanced Practice Registered Nurse with NP board certification in their chosen specialty.… more
- Wayne State University (Detroit, MI)
- …Bachelor's degree Experience Experienced (minimum 2 years of job-related experience) Current Registered Nurse (RN) licensure with the State of Michigan is ... Diabetes Educator and Research Nurse - Internal Medicine Wayne State University is...nutrition, mediation, fitness, sleep, dentition, and stress contexts, including management and monitoring. Coordinate the development, utilization ,… more
- Gentiva (Clinton Township, MI)
- …+ Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN, you will be eligible for:** + Competitive Pay + 401(k) ... with them and other specialists to offer advanced illness management , a specialized form of high-touch palliative care designed...telephonic, video, and in person interventions afterhours. **As a Registered Nurse / RN, you will:** +… more
- Tenet Healthcare (Detroit, MI)
- …preferred. 2.Three to five years clinical nursing experience. 3.Two years experience in utilization management , case management or discharge planning in an ... acute care setting. 5. License to practice as a Registered Nurse in the State of Michigan....Nurse in the State of Michigan. 6. Case Management certification strongly preferred. Job : Nursing Primary Location… more
- Tenet Healthcare (Detroit, MI)
- …standards of cardiac care for hospitals and physicians throughout the nation. SUMMARY The Registered Nurse (RN) is a member of the Patient Care Services Team. ... The Registered Nurse is responsible for the satisfactory...clinical pathways. The RN reports directly to senior unit management , participates in shared decision-making activities and establishes relationships… more
- Ciena Healthcare (Detroit, MI)
- …assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . At Ciena Healthcare, we take care ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management...Association of Nursing Assessment Coordinators (AANAC) requirements. **Qualifications** + Registered Nurse (RN) + AANC certification a… more
- McLaren Health Care (Mount Clemens, MI)
- …Nursing * Current State of Michigan RN license * One year of experience as a Registered Nurse /Charge Nurse or Assistant Manager in Surgical Services, OR or ... performance and/or leadership of patient care team members and patient care management staff. Assists in the coordination of patient care through the appropriate… more
- AmeriHealth Caritas (Southfield, MI)
- …Clinical Counseling Psychology, or Nursing. Current and unrestricted Michigan licensure required: Registered Nurse , LCSW, or LMSW. Your career starts now. We ... primary care team. The CCM is responsible for proving utilization management and both case and care...or Nursing. + Current and unrestricted Michigan licensure required: Registered Nurse , LCSW, or LMSW. + Minimum… more