Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN Utilization Coordinator: Improve Care & Reimbursement

Henry Ford Health

Henry Ford Health in Troy, Michigan, is seeking a Registered Nurse for the Central Utilization Management department. This position involves reviewing the appropriateness of services and facilitating health care delivery while maximizing reimbursement. Candidates should have a minimum of 3-5 years of clinical experience and a Bachelor of Science in Nursing. The role requires strong communication skills and the ability to collaborate with various providers to ensure quality care and financial outcomes. #J-18808-Ljbffr

Vacancy posted 13 hours ago
Similar jobs that could be interesting for youBased on the RN Utilization Coordinator: Improve Care & Reimbursement in Troy, MI vacancy
  •  ...appropriateness of services, the utilization of hospital resources...  ...quality of patient care rendered. Combines...  ...thinking to maximize reimbursement. Principle Duties and...  ...opportunities to improve progression in the transition...  .... Facilitate and coordinate involvement of medical... 
    Reimbursement
    Full time
    Shift work

    Henry Ford Health

    Troy, MI
    13 hours ago
  •  ...MDS Coordinator RN Villa at City Center is seeking a MDS Coordinator...  ...Data Set (MDS) assessments and care plans in accordance with...  ...centered care and appropriate reimbursement through Medicare and...  ...Quality Assurance and Performance Improvement (QAPI) initiatives related to... 
    Reimbursement
    Daily paid
    Full time
    Temporary work
    Work at office

    Villa Healthcare

    Warren, MI
    3 days ago
  • $40.78 per hour

     ...Clinical Triage Nurse, RN – HarmonyCares...  ...in-home primary care services for people...  ...and Certification Reimbursement Paid Time Off, Holidays...  ...care required and coordinate care with a care...  ...care team member. Utilize appropriate...  ...projects and quality improvement initiatives as assigned... 
    Reimbursement
    Full time
    Remote work

    HarmonyCares

    Troy, MI
    1 day ago
  •  ...cost, quality and utilization to facilitate the...  ...of patient care and engagement, to...  ...management, and/or care coordination, discharge...  ...and appropriate reimbursement. Determines and assures...  ...participates in improvement projects. Qualifications...  ...consider non-BSN RN if actively... 
    Reimbursement
    Full time
    Monday to Friday
    Shift work
    Weekend work

    Corewell Health

    Troy, MI
    2 days ago
  •  ...Summary The Home Health RN provides professional nursing...  ..., focusing on quality care, patient safety, and improved health outcomes. This role...  ...and self-care strategies Coordinate with healthcare team...  ...compensation structure Mileage reimbursement Medical, dental, and... 
    Reimbursement
    Flexible hours

    University Home Care

    Sterling Heights, MI
    13 hours ago
  • $29.05 - $67.97 per hour

     ...Description Job Summary Utilizing clinical knowledge and experience...  ...and appropriate level of care utilizing MCG/InterQual, state...  ...coding to ensure appropriate reimbursement to providers.  Job Duties •...  ...experience.  • Registered Nurse (RN). License must be active and... 
    Reimbursement
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Sterling Heights, MI
    3 days ago
  •  ...1000 per referral!) License reimbursement if traveling to new state where...  ...and revises a plan of care of assigned patients and families...  ...; managing patient care; improving quality of care; establishing...  ...professional relationships and utilizing professional skills;... 
    Reimbursement
    Hourly pay
    Contract work
    Local area
    Immediate start

    Vibra Healthcare

    Pontiac, MI
    14 hours ago
  •  ...Hospice, we provide "Compassionate Care from Our Hearts to Yours." Our...  ...Hospice House Staff Nurse - RN PRN What You Must Have:...  ...matching ~ Tuition reimbursement ~ Company car for qualifying...  ...training to other staff as needed Utilize excellent customer care skills... 
    Reimbursement
    Full time
    Relief
    Local area

    Heart to Heart Hospice

    Troy, MI
    a month ago
  •  ...Hospice House Staff Nurse - RN PRN You can make a difference...  ...Hospice, we provide "compassionate care from our hearts to yours." Our...  ...employer matching ~ Tuition reimbursement ~ Company car for qualifying...  ...to other staff as needed Utilize excellent customer care skills... 
    Reimbursement
    Full time
    Relief
    Local area

    Heart to Heart Hospice

    Troy, MI
    4 days ago
  •  ...provide the highest quality care to every patient requiring surgical...  ...of Excellence. The OR Board Coordinator maintains a safe, efficient...  .... Establishes quality improvement criteria for schedule...  ...appropriate channels. Maintains room utilization data and prepares monthly... 
    Full time
    Work experience placement
    Local area
    Shift work
    Day shift

    Trinity Health

    Pontiac, MI
    13 hours ago
  • $125k - $145k

     ...PTO, Matching 401k Mileage Reimbursement MI RN License Required Compensation...  ...Your Career in Hospice Caring for others is more than what...  ...a variety of personnel and utilize mentoring and motivational...  ...Participates in or leads quality improvement activities, including data... 
    Reimbursement
    Full time
    Local area
    Remote work
    Flexible hours

    AccentCare

    Madison Heights, MI
    13 hours ago
  •  ...POSITION SUMMARY: The Utilization Management Case Manager/ Appeal Coordinator has responsibility for organizing...  ...conducting the managed care process and managing the...  ...and appropriate reimbursement for services rendered....  ...or fully licensed (LBSW, RN, LLMSW, LMSW, LLP, TLLP,... 
    Reimbursement

    Havenwyck Hospital

    Auburn Hills, MI
    4 days ago
  •  ...Home Health RN Clinical Manager Optimal Care is where your dedication...  ...match ~ Mileage reimbursement ~ Pet insurance...  ...patient receives coordinated, high-quality care...  ...recommendations to improve patient care and operations...  ...Coordinate utilization review activities... 
    Reimbursement
    Temporary work
    Work at office
    Immediate start
    Shift work
    Weekend work

    OPTIMAL CARE INC

    Franklin, MI
    3 days ago
  • $2,360 per week

     ...Registered Nurse (RN) | Labor & Delivery Location: West Bloomfield...  ...provide exceptional patient care in this contract/travel role....  ...mission to connect people, improve lives, and give back to the...  ...paid life insurance, a health reimbursement account, and more! Weekly paychecks... 
    Reimbursement
    Hourly pay
    Weekly pay
    Full time
    Contract work
    Shift work
    Night shift

    Core Medical Group

    West Bloomfield, MI
    12 days ago
  •  ...professional growth. Our mission-people caring for people-guides everything...  ...Plan ~ Tuition Reimbursement ~ Professional Licensing &...  ...you will contribute: The RN Case Manager is responsible...  ...and complete appropriate care coordination notes for visit notes, and... 
    Reimbursement
    Shift work
    Weekend work

    Crossbridge Hospice

    Troy, MI
    13 hours ago
  • $2,187 - $2,327 per week

     ...Registered Nurse (RN) | Labor & Delivery Location: West...  ...provides comprehensive patient care in the obstetric setting. This...  ...Participate in quality improvement initiatives to enhance maternal...  ...~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why... 
    Reimbursement
    Full time
    Contract work
    Temporary work
    Immediate start
    Shift work
    Night shift

    TravelNurseSource

    West Bloomfield, MI
    12 days ago
  • $2,376 per week

     ...! FirstChoice RNs are utilized to fill short and long...  ...contributes to quality & improvement practices & outcomes...  ...of nursing. Valid RN licensure authorized in...  ...specialties including Critical Care, Surgical Services,...  ...DailyPay available Reimbursement of License and... 
    Reimbursement
    Daily paid
    Temporary work
    Part time
    Local area
    Flexible hours
    Shift work
    Night shift

    Trinity Health

    Pontiac, MI
    13 hours ago
  • $15k

     ...Network in Troy, Michigan is seeking a Registered Nurse (RN) On-Call to provide skilled nursing care in patients' homes. This role involves responding to...  .... The position offers a competitive salary, mileage reimbursement, health insurance, and additional financial... 
    Reimbursement
    Relocation package

    Alternate Solutions Health Network

    Troy, MI
    1 day ago
  • $1,640 per week

     ...Registered Nurse (RN) | Operating Room Location: Clinton Township...  ...provide exceptional patient care in this contract/travel role....  ...mission to connect people, improve lives, and give back to the community...  ...paid life insurance, a health reimbursement account, and more! Weekly... 
    Reimbursement
    Hourly pay
    Weekly pay
    Full time
    Contract work
    Shift work

    Core Medical Group

    Clinton Township, MI
    4 days ago
  •  ...University Home Care is seeking a Home Health RN to provide professional nursing services in patients' homes across Sterling Heights, MI. The...  ...competitive compensation structure along with mileage reimbursement, medical, dental, and vision insurance. Responsibilities... 
    Reimbursement
    Flexible hours

    University Home Care

    Sterling Heights, MI
    14 hours ago
  •  ...Alternative Payment Model (APM) Coordinator supports the planning,...  ...ongoing management of value‑based care programs and alternative...  ...financial, and analytics teams to improve outcomes and support...  ...requirements. Monitor quality, cost, utilization, and risk‑adjustment metrics... 
    Contract work
    Shift work

    Health Alliance Plan

    Troy, MI
    13 hours ago
  •  ...national healthcare staffing firm is seeking an experienced Registered Nurse for a position focused on Utilization Review. This role involves collaborating to enhance care continuity and conducting reviews for Medicaid and Medicare patients. The ideal candidate will have... 

    HealthCare Support

    Troy, MI
    13 hours ago
  • $1,467 - $1,561 per week

     ...Registered Nurse (RN) | Operating Room Location: Clinton Township...  ...comprehensive patient care throughout the perioperative process...  ...~24/7 recruiter support ~ Reimbursement for licensure and CEUs...  ...Medical Staffing, our goal is to improve the lives of everyone we touch... 
    Reimbursement
    Full time
    Contract work
    Temporary work
    Shift work

    Fusion Medical Staffing

    Clinton Township, MI
    4 days ago
  • $1,467 - $1,561 per week

     ...Registered Nurse (RN) | Operating Room Location: Clinton Township...  ...comprehensive patient care throughout the perioperative process...  ...~24/7 recruiter support ~ Reimbursement for licensure and CEUs...  ...Medical Staffing, our goal is to improve the lives of everyone we touch... 
    Reimbursement
    Full time
    Contract work
    Temporary work
    Shift work

    TravelNurseSource

    Clinton Township, MI
    4 days ago
  •  ...administration of third-party payor/Managed Care agreements within all market segments...  ...Health Plans and third-party payors. Coordinate and facilitate education of hospitals, physicians...  ...standard and innovative contract and reimbursement methodologies, including but not limited... 
    Reimbursement
    Ongoing contract
    Contract work

    McLaren USA

    Auburn Hills, MI
    5 days ago
  • $33 - $37 per hour

     ...and rewarding career! Job Description Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious...  ...management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and... 
    Private practice
    Work at office

    HealthCare Support

    Troy, MI
    14 hours ago
  • $1,640 per week

     ...Registered Nurse (RN) | Operating Room Location: Clinton Township...  ...provide exceptional patient care in this contract/travel role....  ...mission to connect people, improve lives, and give back to the community...  ...paid life insurance, a health reimbursement account, and more! Weekly... 
    Reimbursement
    Hourly pay
    Weekly pay
    Daily paid
    Permanent employment
    Full time
    Contract work
    Temporary work
    Relocation
    Shift work

    TravelNurseSource

    Clinton Township, MI
    4 days ago
  •  ...Coding Coordinator Of Quality & Education Directly coordinates, oversees, and controls...  ...hospital and ambulatory sites for billing/reimbursement purposes. The Coding Coordinator of...  ...programs and processes that are aimed at improving the quality of documentation practices... 
    Reimbursement
    Remote job
    Full time

    Henry Ford Hospital

    Troy, MI
    3 days ago
  •  ...we believe in the power of compassionate care. Like the river that inspired our name and...  ...of an accredited nursing program (RN)1+ years of recent acute care experience...  ...01(k) with up to 4% company matchTuition reimbursement and professional development opportunitiesPaid... 
    Reimbursement
    Full time
    Temporary work

    St Croix Hospice

    Troy, MI
    14 hours ago
  • $29.05 - $67.97 per hour

     ...Job Description Job Summary Utilizing clinical knowledge and experience...  ...and appropriate level of care utilizing MCG/InterQual, state...  ...coding to ensure appropriate reimbursement to providers. Job Duties - Facilitates...  .... - Registered Nurse (RN). License must be active and... 
    Reimbursement
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Warren, MI
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Utilization Coordinator: Improve Care & Reimbursement. Be the first to apply!