Jobs 1 to 10 of 235
Upload your resume - Let employers find you
Utilization Review Nurse
The Maxis Group - Troy, MI
Utilization Review Nurse. This is utilization review. Preferably hospital nursing, utilization management. Provides daily review and evaluation of members that...
Easily apply
Registered Nurse (Acute Inpatient Mental Health)
Veterans Affairs, Veterans Health Administration - 2,806 reviews - Ann Arbor, MI
$56,124 - $95,242 a year
Practice, ethics and resource utilization; VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD....
Registered Nurse (Education Specialist)
Veterans Affairs, Veterans Health Administration - 2,806 reviews - Ann Arbor, MI
$60,808 - $101,368 a year
Practice, ethics and resource utilization; VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD....

Utilization Management Coordinator

Main Hospital - Beaumont Hospitals, Troy - Troy, MI
Utilizes Interqual criteria for review purposes. Registered nurse in the State of Michigan, BSN. Actively partners with the health care team to ensure...

Utilization Appeals Coordinator

Main Hospital - Beaumont Hospitals, Troy - Troy, MI
Forwards recommendations for physician advisor review to the Utilization/Appeals Care Coordinator. Licensed as an RN or LPN in the State of Michigan for nurses...

RN Pre-Certification Specialist

Ascension (System Office) - Birmingham, MI 48012
Must have experience in care or disease management, utilization review. Performs clinical utilization review to determine medical appropriateness and cost...

MDS Nurse

Olympia Group LLC - Center Line, MI  +1 location
Registered Nurse (RN). Significant change and quarterly review. The MDS Nurse is responsible for:. Ensuring timely scheduling and completion of the initial care...
Easily apply

Utilization Review Nurse

Catapult Consultants, LLC - 9 reviews - Bingham Farms, MI
Catapult Consultants is seeking a Utilization Review Nurse (also known as Lead Claims Review Analyst or Medical Review Nurse) to perform pre- and/or post-pay...

Utilization Review Nurse

Catapult Consultants - 9 reviews - Bingham Farms, MI
Catapult Consultants is seeking a Utilization Review Nurse (also known as Lead Claims Review Analyst or Medical Review Nurse) to perform pre- and/or post-pay...

Medicare Medical Review Registered Nurse (RN)

NCI Information Systems, Inc. - 6 reviews - Detroit, MI
As the Medicare Medical Review Registered Nurse (RN), you will be primarily responsible for conducting clinical reviews of medical records during the course of...

Clinical Care Reviewer Utilization Management, RN

AmeriHealth Caritas - 228 reviews - Southfield, MI
Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and outpatient services, working closely with members and...

Medical Review RN

NCI Information Systems, Inc. - 6 reviews - Detroit, MI
BSN prepared Registered Nurses. At least 4 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience....

MDS Nurse RN / Care Management Nurse RN- Corporate

Ciena Healthcare Management - 2 reviews - Southfield, MI 48075
Experience as an MDS Nurse, RN. The Care Management Nurse, MDS Nurse at the corporate office, floats to assist facilities in the area....
Easily apply
Registered Nurse (Quality Management Coordinator)
Veterans Affairs, Veterans Health Administration - 2,806 reviews - Ann Arbor, MI
$56,124 - $95,242 a year
Practice, ethics and resource utilization; The incumbent conducts various patient care studies based on areas assigned, including review of patient incident...
Certification/Appeals Nurse
Of utilization review or managed care experience preferred. Identifies appropriate requests for medical director review....

Never miss a job. Get new jobs emailed to you daily.

Be the first to see new Utilization Review Nurse jobs in Michigan
You can cancel email alerts at any time.