- Select Medical (Ypsilanti, 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
- Molina Healthcare (Detroit, MI)
- …Responsible for the development, implementation, and delivery of training curriculum for Utilization Management , Case Management , and LTSS staff. Leads ... SKILLS & ABILITIES** : + 2 or more years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of… more
- Trinity Health (Ann Arbor, MI)
- …**MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical Nurse and graduate of ... financing and managed care. Knowledge of and experience in case management and utilization management . Outpatient CDI experience preferred. Knowledge of… 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 Case Manager Contingent Days - 2506000442 Description...q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements… more
- Molina Healthcare (Detroit, MI)
- … Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) with experience in lieu of RN license. ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- Molina Healthcare (Detroit, MI)
- … Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) with experience in lieu of RN license ... integrated) performing one or more of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.).… more
- Molina Healthcare (Detroit, MI)
- … Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) with experience in lieu of RN license. ... years in one or more of the following areas: utilization management , case management , care...third party regulations. **Required License, Certification, Association** + If licensed , license must be active, unrestricted and in good… more
- Tenet Healthcare (Detroit, MI)
- Manager of Case Management RN or LMSW - 2406002577 Description : DMC Sinai-Grace Hospital is DMC’s largest hospital, offering a comprehensive heart center, cancer ... to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to… 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