- Integra Partners (Troy, MI)
- …other duties as assigned EDUCATION: Active, Licensed Vocational Nurse , or Licensed Practical Nurse license EXPERIENCE: + Minimum of 3 years of ... Integra is looking for a LPN /LVN experienced in the managed care payor environment...managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will… more
- 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
- 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
- Molina Healthcare (MI)
- …of relevant education and experience. + Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ). The license must be active and ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint… more
- Datavant (Lansing, MI)
- …it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG ... knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered...Excel, Outlook, experience working in a health plan medical management documentation system a plus. Minimum Education: LVN/ LPN… 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
- Molina Healthcare (MI)
- …and experience. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse ( LPN ), Licensed Clinical Social Worker ... in some or all of the following functions: care management , utilization management , behavioral health,...(LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed … more
- Veterans Affairs, Veterans Health Administration (Adrian, MI)
- …promotion, health education and coaching on wellness, disease prevention, and chronic care management . The nurse will assist in directing the provision of ... The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse (RN) to serve as the Patient Aligned Care Team (PACT) Outpatient Staff… more
- Corewell Health (Grand Rapids, MI)
- …practice or healthcare setting Required + Experience working as a medical assistant, paramedic, Licensed Practical Nurse ( LPN ), or Registered Nurse ... in the team as a whole. Responsibilities for cost-effective utilization of employees and other resources while maintaining high...State of Michigan Upon Hire required Or + LIC-License Practical Nursing ( LPN ) - STATE_MI State of… more
- McLaren Health Care (Mount Pleasant, MI)
- …required and directed. **Qualifications:** **_Required:_** + Registered Health Information Technician (RHIT), Licensed Practical Nurse ( LPN ), hospital ... education sessions to maintain competency and knowledge of regulations in denials, utilization management , care management , clinical documentation, and… more
- Evolent (Lansing, MI)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed… more
- Behavioral Center of Michigan (Detroit, MI)
- …and compiles records for the unit. Upholds system and organization in the nurse station, giving assistance to the assigned clinical staff in the unit. Performs ... for discharge/transfer. Makes appropriate copies for various departments (Nursing, Utilization Review, Billing, and Partial Hospitalization Program). + Collects… more