Utilization Review Nurse Jobs in Michigan

Currently, there are no Utilization Review Nurse jobs available in Michigan which match this search. You may wish to explore similar job titles on the Healthcare jobs in Michigan page or view related jobs below.
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Job Description Registered Nurse (RN) Review Analyst Responsible for the approval or rejection of claims Admissions approvals Telephone triage Benefit interpretation May be required to enter or reference data via PC and/or CRT terminal. Other related skills may be required to perform this job. Expertise in the use of medical terminology Utilization Review Chart Auditing Details 40 hour...
Utilization Review RN Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick Claims Management Services, Inc. has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick CMS is the place for...
Job Description Under limited direction and according to established policies and procedures, responsible for collaborating with physicians and applying medical necessity criteria (severity of illness and intensity of service) to determine appropriate level of care (inpatient, outpatient, observation, or community) at all points of entry. Access location points to include emergency department, dir...
Job Description Under limited direction and according to established policies and procedures, responsible for collaborating with physicians and applying medical necessity criteria (severity of illness and intensity of service) to determine appropriate level of care (inpatient, outpatient, observation, or community) at all points of entry. Access location points to include emergency department, dir...
*CURRENTLY INTERVIEWING!!* A-Line Staffing Solutions is seeking experienced RN/ Registered Nurse / Utilization Review / HEDIS professional to work a full-time position in the Southfield or Detroit area! RN / Registered Nurse / Utilization Review / HEDIS : Responsible for the approval or rejection of claims, admissions approvals, discharge planning, telephone triage, and/or benefit interpretatio...
Detroit Medical Center Detroit, MI, 48222
Under limited direction and according to established policies and procedures, responsible for collaborating with physicians and applying medical necessity criteria (severity of illness and intensity of service) to determine appropriate level of care (inpatient, outpatient, observation, or community) at all points of entry. Access location points to include emergency department, direct admits, proc...
Henry Ford Hospital Clinton, MI
Overview Our health system thrives on teamwork, and we know our employees achieve the greatest results when they are working together for a common goal - to provide care for our patients. If you enjoy working in a collaborative environment then we have a job for you! Henry Ford Health System is one of the country's largest health care systems and a national leader in clinical care, research and ...
Detroit Medical Center Detroit, MI, 48222
Under limited direction and according to established policies and procedures, responsible for collaborating with physicians and applying medical necessity criteria (severity of illness and intensity of service) to determine appropriate level of care (inpatient, outpatient, observation, or community) at all points of entry. Access location points to include emergency department, direct admits, proc...
Trinity Health Corporation Ann Arbor, MI, 48103
REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE Education: Bachelors' or Associates' Degree or Diploma in Nursing. Experience: Two to three years related experience and clinically relevant knowledge regarding patient population. Licensure: Current Registered Nurse license in the State of Michigan (RN). REQUIRED SKILLS AND ABILITIES 1. Clinical and analytic skills necessary to facil...
Detroit Medical Center Detroit, MI, 48222
Under limited direction and according to established policies and procedures, responsible for collaborating with physicians and applying medical necessity criteria (severity of illness and intensity of service) to determine appropriate level of care (inpatient, outpatient, observation, or community) at all points of entry. Access location points to include emergency department, direct admits, proc...
Working At Aetna -- the Value To You What does it mean to work at Aetna? A lot. From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways. This is an in-office position. Candidates must have at least 2 years of clinical nursing experience....
This is an in-office position. Candidates must have at least 2 years of clinical nursing experience. POSITION SUMMARY Utilize clinical skills to collect and document information to support medical necessity determination. Review and gather clinical information to process prior authorization requests, utilizing criteria. Excellent opportunity to utilize and apply nursing knowledge in a office s...
A-Line Staffing is currently recruiting for 6 Registered Nurses with Utilization Review experience to work for a large healthcare insurance provider in the Metro Detroit Area. Great way to get your foot in the door for a large company in a widely growing industry! This position involves doing chart review, chart auditing, and utilization review. Some telephone triage experience preferred. Will pr...
ABOUT US: Alator Home Health & Hospice Alator Home Health & Hospice is a medicare certified Home Health Agency that was founded in 2009 and has seen steady growth in the past 2 years. The agency is currently in the process of obtaining certification as a hospice provider from the Department of Community Health. Alator Home Health & Hospice prides itself on its patient-centric approach to healthca...
Join the Aetna Better Health of Michigan team! Come prepared to interview with our managers. Please bring your resume! Southfield Job Fair Wednesday, October 15, 2014 11am-7pm The Westin Southfield 1500 Town Center Southfield, MI 48075 *********************************************************************************************** Aetna Better Health Premier Plan, a MI Health Link Plan, i...
Aetna Inc. Okemos, MI
Join the Aetna Better Health of Michigan team! Come prepared to interview with our managers. Please bring your resume! Southfield Job Fair Wednesday, October 15, 2014 11am-7pm The Westin Southfield 1500 Town Center Southfield, MI 48075 *********************************************************************************************** Aetna Better Health Premier Plan, a MI Health Link Plan, i...
Aetna Inc. Grand Rapids, MI
Join the Aetna Better Health of Michigan team! Come prepared to interview with our managers. Please bring your resume! Southfield Job Fair Wednesday, October 15, 2014 11am-7pm The Westin Southfield 1500 Town Center Southfield, MI 48075 *********************************************************************************************** Aetna Better Health Premier Plan, a MI Health Link Plan, i...
Join the Aetna Better Health of Michigan team! Come prepared to interview with our managers. Please bring your resume! Southfield Job Fair Wednesday, October 15, 2014 11am-7pm The Westin Southfield 1500 Town Center Southfield, MI 48075 *********************************************************************************************** Aetna Better Health Premier Plan, a MI Health Link Plan, i...
Aetna Inc. Midland, MI
Join the Aetna Better Health of Michigan team! Come prepared to interview with our managers. Please bring your resume! Southfield Job Fair Wednesday, October 15, 2014 11am-7pm The Westin Southfield 1500 Town Center Southfield, MI 48075 *********************************************************************************************** Aetna Better Health Premier Plan, a MI Health Link Plan, i...
Aetna Inc. Detroit, MI
Job Description Aetna Better Health Premier Plan, a MI Health Link Plan, is looking for caring people who share our vision of helping to provide innovative, community-based health care for dual-eligible Medicare-Medicaid members in Michigan. Aetna Better Health of Michigan is a great place to work. As an employee, not only will you be helping others, you'll be part of a team just as dedicated as ...

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Nurse Manager

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