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Registered Nurse (RN)
Pine Rest Christian Mental Health Services - Grand Rapids, MI
Responsible for the utilization and continued review of patient care protocols, standards of practice, and standards of care....
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Sponsored
Manager of Medical Group Clinical Operations
Mary Free Bed - Grand Rapids, MI
Coordinates systematic performance review of all clinical staff. Oversees par levels for clinic supplies and utilization controls....
Sponsored by Mary Free Bed Rehabilitation Hospital
Registered Nurse
Participates in quarterly utilization review and chart audits (peer and self) for OBQI/OBQM as requested by Agency....
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Registered Nurse Care Review Clinician II (Medicaid)

Molina Healthcare - 247 reviews - Troy, MI
Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review....

Inpatient Review Nurse

Meridian Health Plan - 63 reviews - Detroit, MI
A Day in the Life of an Inpatient Review Nurse:. Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the...

Denials Nurse

Meridian Health Plan - 63 reviews - Detroit, MI
Current licensure to practice as a Registered Nurse or a Licensed Practical Nurse in the designated State, without restriction....

Medicare Medical Review RN

NCI Information Systems, Inc. - Detroit, MI
At least 2 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience. As the Medicare Medical Review RN ( Medical Reviewer ), you will...

Coor-Utilization Mgmt (Full-Time/Days) Detroit Job

Henry Ford Health System - 617 reviews - Detroit, MI 48202 (New Center area)
Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered....

Clinical Documentation Improvement RN - $5K Sign On - Forest...

UnitedHealth Group - 4,048 reviews - Forest Hills, MI
Chart review experience. Provides expert level review of inpatient clinical records within 24-48 hours of admit;...

Senior Nurse-OB/Gyn

Integrated Health Associates (IHA) - Canton, MI
Registered Nurse (RN). Bachelor's degree/graduate of an accredited Registered Nurse Program. Performance that meets or exceeds IHA CARES Values expectation as...

Transfer RN/Bed Management (Afternoon/36hrs/wk) Detroit Job

Henry Ford Health System - 617 reviews - Detroit, MI 48202 (New Center area)
The Transfer Nurse is a Registered Nurse who facilitates the transfer of patients to Henry Ford Hospital in a safe, successful and efficient manner....

Medicare Claims Reviewer (RN)

Catapult Consultants, LLC - 3 reviews - Bingham Farms, MI
The Lead Claims Review Analyst:. At least 2 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience....

RN - Medicare Claims Reviewer

Catapult Consultants, LLC - 3 reviews - Bingham Farms, MI
The Lead Claims Review Analyst:. At least 2 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience....
Utilization Management Coordinator
Integrated Health Partners - Battle Creek, MI
Registered Nurse (RN). The Utilization Management (UM) Coordinator is responsible for implementing the utilization review, plan approvals, discharge planning,...
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Clinical Documentation Specialist
Anthelio - Macomb, MI
Current Registered Nurse License in the State of practice. Experience in Utilization Management/Case Management, Critical Care, and patient outcomes/quality...
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