• Utilization Management Nurse

    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
    Integra Partners (12/03/24)
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  • Ops-UM Training Specialist

    Integra Partners (Troy, MI)
    …and leaders to design individual training plans to help improve employee performance EDUCATION: + Licensed Practical Nurse ( LPN ) or Licensed ... Integra Partners is seeking an experienced nurse educator to join our Operations Training &...experience preferred in a training environment. + Knowledge and practical experience with Utilization Management more
    Integra Partners (10/09/24)
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  • Registered Nurse Case Manager Adult…

    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 Adult Services Full Time Days...q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements… more
    Tenet Healthcare (11/26/24)
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  • Community Care Nurse

    ChenMed (Warren, MI)
    …and evaluate individual patient care plans. + Ability to work as oversight for License Practical Nurse ( LPN ) for initial assessments, plan of care and ... great people to join our team. The Community Care Nurse is responsible for enhancing the quality of patient...cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The… more
    ChenMed (12/19/24)
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