Utilization Review Nurse jobs in Michigan

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Utilization Case Manager -Work from Home
Oakwood Healthcare System 7 reviews - Dearborn, MI
40 Job Details: Nurse RN Job Summary: Under general direction, integrates cost, quality and utilization to... Quality Management, Utilization Review, Home Care or...
Sponsored by Nurse.com - 21 days ago
Clinical Quality Assurance Nurse Auditor
IME Resources - Southfield, MI
Reviews, Medical Record Chronologies, Provider Bill Reviews, Coding Reviews, Hospital Bill Reviews, List... quality assurance review of peer review reports...
Sponsored by IME Resources - 13 days ago

MI Duals - Registered Nurse (RN) - Concurrent Review Nurse

Aetna 345 reviews - Detroit, MI 48207 (Elmwood Park area) - +1 location
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program....
3 days ago - save job - email - more...

Utilization Review Spec

Saint Joseph Mercy Health System 23 reviews - Ann Arbor, MI
Current Registered Nurse license in the State of Michigan (RN). Clinical and analytic skills necessary to facilitate collection of patient clinical information...
9 days ago - save job - email - more...

Med Review and Appeals RN

Health & Medical Affairs - Southfield, MI
Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate...
Blue Cross Blue Shield of Michigan - 22 hours ago - save job - email - more...

Utilization Case Manager

Oakwood Hospital-Dearborn - Dearborn, MI
Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient by combining the...
Oakwood Healthcare System - 3 hours ago - save job - email - more...

Clinical Quality Assurance Nurse Auditor

IME Resources - Southfield, MI 48034
The company's mission is to rely on the local professional presence, enhance quality of service and improve workflow in the independent medical review process....
13 days ago - save job - email - more...

Manager of Care Coordination – CSHCS

Meridian Health Plan 25 reviews - Michigan
Review care coordination processes to provide Director/Deputy Director with an individual assessment of compliance risk, internal control and the overall...
8 days ago - save job - email - more...

Utilization Management Coordinator- Hourly

Saint Joseph Mercy Health System 23 reviews - Pontiac, MI
members of the health care team, conducts observation, admission, concurrent, discharge and retrospective reviews to....
11 days ago - save job - email - more...

Facilitator - Clinical Quality II Job

Henry Ford Health System 345 reviews - West Bloomfield Township, MI - +1 location
With guidance and direction from the Director, Initiative Effectiveness Quality & Safety, the Clinical Quality Facilitator II (CQF II) is a registered nurse who...
4 days ago - save job - email - more...

Utilization Management Review Nurse

Meridian Health Plan 25 reviews - Michigan - +1 location
Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services requiring clinical review including all...
30+ days ago - save job - email - more...

NCLEX INSTRUCTOR - Grand Rapids, MI Area

Kaplan 505 reviews - Grand Rapids, MI
The Kaplan Faculty Member is a qualified nurse educator or clinical expert who, on a PRN basis, is responsible for all aspects of course delivery....
3 days ago - save job - email - more...
Preservice Review RN - Telecommute
UnitedHealth Group 1,481 reviews - Southfield, MI
utilization and concurrent review Review requests... Utilization Review, UR, Preservice Review, concurrent review, UM, Utilization Management, Registered Nurse...
Sponsored by CareerBuilder - 7 days ago
Registered Nurse -Geriatrics/Auto Accident Case Manager
Complete Care LLC - Saint Joseph, MI
Experience/exposure with discharge planning - Experience in utilization review, concurrent review and/or risk management - Strong organizational skills and...
Easily apply
Sponsored by Complete Care LLC - 2 days ago
Senior Director, Clinical Documentation Improvement
Anthelio - Farmington Hills, MI
the patient’s severity of illness, resource utilization, quality and acuity of care provided and to... for QC to continuously review a small selection of...
Sponsored by Anthelio - 30+ days ago

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