- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... nursing experience, including at least 1 year of utilization review , medical claims review , long-term...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... medical necessity screening and submission for Physician Advisor review , b) care coordination, c) transition planning assessment and...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Clinical Coordinator ( RN ) - 2506003558 Description : Children's Hospital of Michigan is committed to providing exceptional patient care in a ... work-life balance. The available plans and programs include: * Medical , dental, vision, and life insurance * 401(k) retirement...required. BSN preferred. 2. Licensed to practice as a Registered Nurse by the state of Michigan.… more
- Trinity Health (Livonia, MI)
- …** Nurse Manager opportunity with Trinity Health Livonia.** Seeking a Registered Nurse with management experience in Progressive Care and Telemetry. ... fast-paced environment. The unit supports approximately 100 FTEs. **POSITION PURPOSE** + The Nurse Manager is accountable for the management of patient care during a… more
- Henry Ford Health System (Detroit, MI)
- The Certified Registered Nurse Anesthetist (CRNA) Manager is a Certified Registered Nurse Anesthetist who ensures the delivery of safe anesthetic patient ... activities in accordance with regulatory and accrediting organizations. . Hires certified registered nurse anesthetists for the department. Accepts input on… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... and Skills: + Strong clinical knowledge and understanding of medical literature and research methodology. + Familiarity with financial...work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- CVS Health (Troy, MI)
- …not permitted. **Required Qualifications** + Minimum 3+ years clinical practical experience as an Registered Nurse ( RN ). + Must have active and unrestricted ... all case management activities with members to evaluate the medical needs of the member to facilitate the member's...member's overall wellness. + Uses clinical tools and information/data review to conduct an evaluation of member's needs and… more
- Surgery Care Affiliates (Novi, MI)
- …change. If you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse ( RN ) PreOp PACU. + Promote the mission, vision, and ... your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company...to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing… more
- Molina Healthcare (Sterling Heights, MI)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Tenet Healthcare (Detroit, MI)
- …Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a ... RN Utilization Review - Case Management...management system Follows the payor dispute processes utilizing secondary medical review , peer to peer and payor… more
- Molina Healthcare (Sterling Heights, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Sterling Heights, MI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Tenet Healthcare (Detroit, MI)
- …school of nursing. Bachelors degree in Nursing (BSN) preferred. 2. Licensed to practice as a Registered Nurse ( RN ) in the state of Michigan. 3. Three years ... Quality Improvement Specialist RN -Trauma Services. - 2506003450 Description : DMC...experience in the delivery of patient care, consistent with Registered Nurse licensure, compiles, analyzes, interprets, and… more
- Henry Ford Health System (Plymouth, MI)
- …as a Certified Nurse Practitioner. Current State license as a Registered Nurse . Current BLS. Current ACLS/ATLS/PALS provider status as required by ... Medical Center is seeking a dedicated and skilled Nurse Practitioner (NP) or Physician Assistant (PA) to join...be considered-particularly those with a background as an ED RN or ED technician who demonstrate the ability to… more
- Corewell Health (Royal Oak, MI)
- …in care management, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire ... for patients utilizing hospital outpatient, observation or inpatient services. 4. May review cases for medical necessity, uses InterQual and/or other UR/UM… more
- Corewell Health (Grosse Pointe, MI)
- …or EMT role, etc., and must have successfully passed the NCLEX licensure examination. + Registered Nurse ( RN ) - STATE_MI State of Michigan Upon Hire required ... and family centered care for patient populations with various medical conditions including pulmonary, cardiac, neurological disorders, and post-operative care… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Nursing Manager is a Registered Nurse who is accountable for leading, managing, developing, supervising, and evaluating the delivery of ... Care is provided in accordance with departmental, Henry Ford Medical Group and Henry Ford Health policies and procedures....by the Michigan State Board of Nursing as a Registered Nurse . Current BLS or ACLS per… more
- IQVIA (Detroit, MI)
- Internal Job Description Our **MedTech Registered Nurse Liaison** experiences a unique opportunity and leverage your clinical expertise in a dynamic role that ... with healthcare professionals and advocate for the well-being of patients through medical device technology. You will be responsible for assisting the service team… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …YOUR APPLICATION (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3535537&source=3535537-CJB-0) Job Title: Registered Nurse Job Status: ... a member of a multidisciplinary team that includes a nurse practitioner and clinicians + Review , interpret...Licenses/Certifications Required at Date of Hire: + Must be registered nurse in good standing based on… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Nursing Manager is a Registered Nurse who is accountable for leading, managing, developing, supervising, and evaluating the delivery of ... Care is provided in accordance with departmental, Henry Ford Medical Group and Henry Ford Health policies and procedures....by the Michigan State Board of Nursing as a Registered Nurse . Current BLS or ACLS per… more