RN Utilization Review Specialist Drive Care & Reimbursement
Henry Ford Health - Careers
Henry Ford Health in Troy, Michigan is seeking a Registered Nurse to enhance patient care through effective quality assessment and resource management. You will utilize clinical and business insights to manage hospital services effectively and facilitate the reimbursement process. The ideal candidate will have a Bachelor of Science Nursing and at least 3-5 years of clinical experience. This role involves collaborating with healthcare providers to ensure medical necessity and proper documentation for reimbursement. #J-18808-Ljbffr
- ...leading staffing firm is seeking a Utilization Management professional who is... ...medical necessity and utilization review. The ideal candidate will have an RN license, strong problem-solving skills... ...to this role include assessing care needs, ensuring compliance with regulations...Suggested
- ...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...Suggested
$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...SuggestedPrivate practiceWork at office$33 - $37 per hour
A national healthcare staffing firm seeks an experienced RN Utilization Review Nurse in Troy, MI. Responsibilities include utilization review... ..., and collaborating with healthcare teams to ensure quality care. Ideal candidates must possess an RN license and have at least...SuggestedHourly payMonday to Friday- ...Registered Nurse (RN) Location: Greater... ...Mobile Device Reimbursement ~401(k) with 3.5... ...compassionate, high-quality care. Position... ...our presence, driving performance, and ensuring... ...awareness and utilization of hospice... ...surveys, and compliance reviews. Team Development...ReimbursementTemporary workWork at office
$70k - $90k
...Elara Caring is seeking a Registered Nurse (RN) Director Hospice for a nursing job in Birmingham, Michigan... ...package ~ Tuition reimbursement for full-time staff and continuing... ...Supervises and coordinates utilization review activities. Participates in...ReimbursementFull timeFlexible hours- ...Registered Nurse (RN) - Home Health Start of Care & Supervisory Visits | Metro Detroit About Us... ...pay with direct deposit Mileage reimbursement One-on-one patient care in the home... ...and regulatory compliance Develop, review, and coordinate patient care plans...ReimbursementWeekly payFlexible hours
$70k - $85k
...is seeking a Registered Nurse (RN) Hospice for a nursing job in... ...looking to add to our extraordinary care team. Grounded by our belief... ...to spend ~20% of your day driving to/from patient locations... ...fitness programs ~ Mileage reimbursement ~ Employee assistance programs...ReimbursementMonday to FridayFlexible hoursShift workWeekend work- ...Hospice, we provide "Compassionate Care from Our Hearts to Yours." Our... ...Hospice House Staff Nurse - RN Shift Schedule: Days... ...employer matching ~ Tuition reimbursement ~ Company car for qualifying... ...training to other staff as needed Utilize excellent customer care skills...ReimbursementFull timeLocal areaShift work
$60k
...LPN/LVN Utilization Management Nurse Integra is looking for a LPN/... ...LVN experienced in the managed care payor environment to perform... ...and post-service utilization reviews and appeals for DMEPOS. This... ...teamwork, and our values: One Team, Drive Results, Push the Boundaries,...Temporary workLocal areaRemote work$75k - $100k
...is seeking a Registered Nurse (RN) Home Health for a nursing job... ...to add to our extraordinary care team. Grounded by our belief that... ...to spend ~20% of your day driving to/from patient locations A commitment... ...and fitness programs Mileage reimbursement Employee assistance programs...ReimbursementFlexible hoursShift work$1,701 - $1,850 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Rochester, MI Agency: Host Healthcare... ...License, travel, tuition, and scrub reimbursement. Matching 401k. Deluxe private... ...Satisfaction by MIT Sloan Management Review. No matter if you want to explore...ReimbursementFull timeLocal areaImmediate startShift workNight shift$70k - $90k
...Elara Caring is seeking a Registered Nurse (RN) Director Hospice for a nursing job in Southfield, Michigan... ...package ~ Tuition reimbursement for full-time staff and continuing... ...Supervises and coordinates utilization review activities. Participates in...ReimbursementFull timeFlexible hours- ...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
$40.78 per hour
Clinical Triage Nurse, RN - HarmonyCares Overview HarmonyCares... ...based provider of in-home primary care services for people with... ...Professional License and Certification Reimbursement Paid Time Off, Holidays and... ...to another care team member. Utilize appropriate process when...ReimbursementFull timeRemote work- ...Posting Coordinates the care for groups of patients... ...management, resource utilization, access, discharge... ...discharge of the patient. Reviews and evaluates... ...care and appropriate reimbursement. Determines and assures... ...Will consider non-BSN RN if actively pursuing a...ReimbursementFull timeMonday to FridayShift workWeekend work
- ...integrates cost, quality, and utilization to facilitate... ...discharge of patients. Reviews and evaluates appropriateness... ...is to enhance patient care quality and engagement... ...and appropriate reimbursement. Communicates... ...school. Consider non‑BSN RN if actively pursuing a...ReimbursementFull timeMonday to FridayShift work
$75k - $100k
...is seeking a Registered Nurse (RN) Home Health for a nursing job... ...to add to our extraordinary care team. Grounded by our belief that... ...to spend ~20% of your day driving to/from patient locations... ...fitness programs ~ Mileage reimbursement ~ Employee assistance programs...Reimbursement10 hours per weekFlexible hoursShift workDay shift$75k - $100k
...Position Overview Registered Nurse (RN) Home Health Case Manager at... ...and delivery of patient care plans for clients in Auburn Hills... ...efficiently, including driving approximately 20% of the day to... ...and fitness programs Mileage reimbursement Employee Assistance Programs Equal...Reimbursement$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- ...Description Job Description Job Title: Aesthetic Injector & Laser Specialist – RN / NP / PA Location: West Bloomfield Township, MI Job... ...with laser experience who brings energy, professionalism, and a passion for patient care , we’d love to hear from you....Hourly payFull timeMonday to Friday
- ...Troy, Michigan Alpine Care Home Health is dedicated to providing... ...providers, families, and specialists to create care plans that are... ...and use of hands Able to drive a car 2-4 hours per day Responsible... ...~401(k) matching ~ Mileage reimbursement (if eligible) Every...ReimbursementFull timeRelief
$80k - $110k
...life by providing world-class care? Inspired by nurses, Boost... ...is a Registered Nurse (RN) who has graduated from an accredited... .... Promote efficient utilization of resources to achieve desired... ...outcomes and within episode reimbursement. Support the coordination...ReimbursementFlexible hours- ...bonus (up to $1000 per referral!) License reimbursement if traveling to new state where new... ...implements, evaluates and revises a plan of care of assigned patients and families while... ...establishing professional relationships and utilizing professional skills; fulfilling...ReimbursementHourly payContract workLocal areaImmediate start
- ...Registered Nurse to handle patient communications, review lab results, and resolve inquiries. The ideal candidate should possess an active RN license and strong communication skills.... ...interactions and ensuring continuity of care in a fast-paced environment. This role...
$2,376 per week
...FirstChoice is seeking a travel nurse RN ED - Emergency Department for... ...! FirstChoice RNs are utilized to fill short and long-term... ...specialties including Critical Care, Surgical Services, Maternal... ...available ~ Reimbursement of License and Certifications...ReimbursementDaily paidTemporary workPart timeLocal areaImmediate startFlexible hoursShift workNight shift- ...the nursing supervisor, utilizes the knowledge and... ...provide direct patient care in the home. Assesses need... ...We offer over the IRS Reimbursement rate. Our Culture Our... ...license and a satisfactory driving record. Must have reliable... ...Department: HHC RN - Southfield Shift: Day...ReimbursementPart timeShift workDay shift
- ...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
- ...is seeking a MDS Coordinator RN to join their team! The MDS Coordinator... ...Set (MDS) assessments and care plans in accordance with... ...centered care and appropriate reimbursement through Medicare and Medicaid.... ...appropriate assessments as required. Review and assess all resident...ReimbursementDaily paidFull timeTemporary workWork at office
- ...Troy, Michigan Alpine Care Home Health is dedicated to... ...care providers, families, and specialists to create care plans that are... ...valid driver's license and good driving record The ability to... ...401(k) matching ~ Mileage reimbursement (if eligible) Every person...ReimbursementRelief
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