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
- ...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...ReimbursementFull timeShift work
- ...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...ReimbursementDaily paidFull timeTemporary workWork at office
$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...ReimbursementFull timeRemote work- ...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...ReimbursementFull timeMonday to FridayShift workWeekend work
- ...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...ReimbursementFlexible hours
$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...ReimbursementHourly payWork experience placementWork at office- ...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;...ReimbursementHourly payContract workLocal areaImmediate start
- ...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...ReimbursementFull timeReliefLocal area
- ...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...ReimbursementFull timeReliefLocal area
- ...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 timeWork experience placementLocal areaShift workDay shift
$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...ReimbursementFull timeLocal areaRemote workFlexible hours- ...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
- ...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...ReimbursementTemporary workWork at officeImmediate startShift workWeekend work
$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...ReimbursementHourly payWeekly payFull timeContract workShift workNight shift- ...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...ReimbursementShift workWeekend work
$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...ReimbursementFull timeContract workTemporary workImmediate startShift workNight shift$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...ReimbursementDaily paidTemporary workPart timeLocal areaFlexible hoursShift workNight shift$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...ReimbursementRelocation package$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...ReimbursementHourly payWeekly payFull timeContract workShift work- ...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...ReimbursementFlexible hours
- ...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 workShift work
- ...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...
$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...ReimbursementFull timeContract workTemporary workShift work$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...ReimbursementFull timeContract workTemporary workShift work- ...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...ReimbursementOngoing contractContract work
$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 practiceWork at office$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...ReimbursementHourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workRelocationShift work- ...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...ReimbursementRemote jobFull time
- ...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...ReimbursementFull timeTemporary work
$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...ReimbursementHourly payWork experience placementWork at office
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