Utilization Review Nurse Jobs in Michigan

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20 Michigan Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 20
A-Line Staffing has 3 openings for RN / Registered Nurse / Review Analyst / Precertification / UR or Utilization Review. Hours: Monday-Friday 8a-5p with start time flexibility once training is completed. This position is an office job where you would be reviewing charts for medical necessity. Job Requirements: Utilization Review experience is a must McKesson Interqual experience is a plus Discharg...
A-Line Staffing Solutions is seeking an experienced Utilization Review Case Manager Registered Nurse professional to work within a hospital setting in the Metro Detroit area. Job Summary: Examine patient case load to ensure patient is receiving the appropriate treatment Review medical requests such as, medical imaging studies, the use of certain medications and treatments, and recommended medical...
CALLING ALL UTILIZATION REVIEW CASE MANAGERS! Are you interested in working for a Hospital recognized by employees as one of the leading non-profit organizations in Detroit? Do you want to put your skills to use in a dynamic healthcare environment? This fast paced, professional, progressive acute and emergency Hospital is continuing to elevate above Michigan facilities in various fields of acute a...
Job Location Name Sinai-Grace Hospital 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 poin...
Job Location Name Orchestra Place - Det Med Ctr Job Description Utilization Review Specialist-4NG54 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)...
Job Location Name Orchestra Place - Det Med Ctr Job Description Utilization Review Specialist-4NG54 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)...
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...
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...
Genpact, Jawood Healthcare Solutions, is seeking a Registered Nurse Review Analyst. Duties include: · Perform review of inpatient, outpatient, and ancillary services as required either on site or telephonically. · Perform review on admissions to ensure medical necessity, appropriate length of stay, appropriate intensity of service and level of care, and appropriate utilization of ancillary service...
Company Confidential Okemos, MI, 48864
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 healthcar...
A-Line Staffing Solutions is seeking an experienced On-site / Remote Transitional Nurse Coordinator to work a full-time position in the Metro Detroit area! Job Summary: Ensure a safe, effective discharge from the hospital to home Avoid preventable re-admissions within 30-days of discharge Ensure that members: follow up with their primary care physician adhere to their medication regime can recogni...
ExamWorks is a dynamic, fast growing global industry pioneer in the health care services sector. Our size, scale and service capabilities, combined with management's vision are transforming the IME industry. We are convinced that the high growth environment, the largest global geographic footprint and most advanced IT platform available differentiates ExamWorks from other IME companies. The compan...
Department Overview The Medical Review Department at Cahaba Safeguard Administrators, LLC (CSA) works in coordination with Benefit Integrity and Data Analysis partners to identify patterns and/or trends of provider billing that could possibly indicate fraud, waste and abuse of the Medicare Trust Fund. This is accomplished through analyzing data; conducting Pre Pay and Post Pay Medical Review of pr...
Looking for RN's in Oakland, Macomb, Geness County Job Summary: Provides skilled professional nursing care to the patient as prescribed by the physician and maintains compliance with regulations and standards established by CMS, CHAP; and standards of professional practice established by the State Board of Nursing, and the American Nursing Association. Follows agency policies and procedures at all...
Job Location Name Sinai-Grace Hospital Job Description Care Management Technician-5MD13 Under general supervision and according to established policies and procedures, provides assistance to Care Management functions for the site. Participates as a member of the Care Management Team to facilitate process flow in care coordination activities and transition planning. Communicates with Third Party pa...
ADN or BSN Registered Nurse (RN) The Case Manager, Outpatient facilitates the coordination of patient care, utilizing assessment skills, clinical expertise, and specific knowledge of criteria and third party payor information. Manages efficient and effective movement and discharge of the patient receiving care in either the Emergency Room, Clinical Decision Unit or direct Admitting. Educational Re...
Job Location Name Harper Hospital Job Description Under limited direction and according to established policies and procedures, acts as a member of the care management team by assessing, developing, implementing and monitoring a holistic care management plan through the interdisciplinary team process, in conjunction with patient and family/caregiver. Collaborates with all members of the care team...
Job Location Name Sinai-Grace Hospital Job Description Under limited direction and according to established policies and procedures, acts as a member of the care management team by assessing, developing, implementing and monitoring a holistic care management plan through the interdisciplinary team process, in conjunction with patient and family/caregiver. Collaborates with all members of the care...
Job Location Name Sinai-Grace Hospital Job Description Under limited direction and according to established policies and procedures, acts as a member of the care management team by assessing, developing, implementing and monitoring a holistic care management plan through the interdisciplinary team process, in conjunction with patient and family/caregiver. Collaborates with all members of the care...
Job Location Name Huron Valley Sinai Hospital Job Description Under limited direction and according to established policies and procedures, acts as a member of the care management team by assessing, developing, implementing and monitoring a holistic care management plan through the interdisciplinary team process, in conjunction with patient and family/caregiver. Collaborates with all members of th...
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Healthcare Career Tools

Nurse Manager

Salaries

$53,600.00 - $103,400.00
Typical Salary for Nurse Manager in Michigan
(310 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
40.7%
Master's
30.8%
Associates
22.9%
(214 Respondents)
Source: Monster.com Careerbenchmarking Tool

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