- 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
- Molina Healthcare (Detroit, MI)
- …required. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse ( LPN ), Licensed Clinical Social Worker ... key health care services (HCS) functions: care management , care transitions, utilization management , behavioral health and/or nurse advice line.… 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
- 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
- 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