RN Utilization Management Specialist
McLaren Health Care
McLaren Health Care in Michigan is seeking a registered nurse to fill a Utilization Management role focused on inpatient and acute care hospital settings. You will collaborate with the care team to ensure medical necessity and proper documentation for payer reviews. Daily duties include performing UM reviews, coordinating with physicians, expediting discharge, and documenting in EMR. A BSN and 3 years UM experience are preferred, with CCM/ ACM and BLS desirable. #J-18808-Ljbffr McLaren Health Care
- ...employee surveys, and town hall meetings A Day In The Life The Utilization Review Specialist (RN) is responsible for ensuring appropriate utilization of... ...practice. Working collaboratively with physicians, case managers, nursing staff, payers, and interdisciplinary teams, the...SuggestedWork at officeWeekend work
- ...Munson Healthcare in northern Michigan is seeking an Utilization Review Specialist (RN) to ensure appropriate utilization of healthcare services... ...and payer guidelines. Collaborating with physicians, case managers, and payers, you will promote high-quality, cost-effective...Suggested
- ...VitalCore Health Strategies seeks an experienced Utilization Management RN for our Regional Office in Lansing, MI. This full-time position will advocate for optimum healthcare for an incarcerated population, coordinate with the clinical team, and oversee discharge planning...SuggestedFull timeWork at office
- POSITION SUMMARY The Employment Specialist plays a vital role in creating inclusive employment... ...the business. Collaborate with case managers, job coaches, and other team members to... ...and final reports. Monitor program utilization, complete program billing, and generate...SuggestedWork at officeLocal areaFlexible hours
- ...- from permanent and extended workforce management to services procurement, consulting, direct... ...Troy, MI, or Tempe, AZ . The Program Specialist I is responsible for building and... ...in appropriate database (VMS, AGS360) Utilize reports to manage open requirements to advise...SuggestedPermanent employmentContract workTemporary work
- ...AI-enabled solutions that span practice management to electronic medical records and e-prescribing... ...care to their clients. As an RCM Specialist II, you will serve as a trusted partner... ...operational efficiency and customer outcomes. Utilize technology and available tools to...Work at office
- ...residing in Michigan. Our Client, a Public Utility that provides natural gas and... ...needs serving in the role of Utility Permit Specialist for a 12 Month + Contract opportunity. Our... ...and objectives of Geospatial & Gas Asset Management (G&GAM). Duties: This role will provide...Contract workWork at officeRemote workFlexible hours
$60k
...Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key role in collaborating with our Medical Director to perform benefit and...Temporary workLocal areaRemote work$26.01 - $62.32 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work- ...lives through energy efficiency. We create and manage customized energy waste reduction programs that help electric and gas utilities meet mandated energy savings goals. Company... ...Experience Position Summary The Outreach Specialist is responsible for promoting a home energy...For contractorsLocal area
- ...McLaren Health Care is seeking a Patient Access Representative I for the Cardiovascular department in Michigan. You will manage registration, financial clearance, insurance verification and cashiering within Revenue Cycle Management, ensuring accuracy and timely handling...Full time
- ...best practices, analytics and resources to manage risk and minimize loss for our... ...training is completed) Provider Relations Specialist I: Responsible for servicing internal and... ...outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software...Work at officeWork from home
- ...daily plant care, including pruning, watering, and transplanting. You will participate in harvesting prep, sanitation, and data management within a fast-paced team environment. The role requires standing for 8 hours, lifting up to 50 lbs, weekend availability, and adherence...Weekend work
- McLaren Health Care in Michigan is seeking a Clinical Documentation Improvement (CDI) Specialist to enhance the quality and completeness of medical record documentation. The role focuses on capturing accurate, complete, and compliant documentation to support outcomes and...
$50k - $55k
...aligning with clients' cultures, deploying top‑tier talent, and utilizing cutting‑edge technologies. Pulivarthi Group stands as a... ...and innovation in the realm of staffing solutions. Job Title: RN – Bed Management Job Overview/Summary The RN Bed Management Nurse is...Full time- ...RN – Pain ClinicDepartment: Pain ClinicLocation: Trinity Health Ann ArborAbout the Pain... ...a multidisciplinary approach to pain management. The staff concentrate on a patient centered... ...out additional resources when necessary. Utilizes teach back methodology to assure patient...Full timeTemporary workWork at officeLocal areaShift workDay shift
- ...Sedgwick is seeking a Utilization Review RN to provide timely, evidence-based utilization review services that maximize quality care and cost-efficiency. The role involves reviewing treatment plans, obtaining medical records, and applying criteria to determine authorizations...
- ...PURPOSE To provide timely, evidence-based utilization review services to maximize quality care... ...& Licensing: Current unrestricted RN license in a state or territory of the United... ...functions, duties, or local variances. Management retains the discretion to add or to change...Work at officeLocal area
- ...Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerLansing, Michigan, United StatesPosition ID: P-757625Assignment type: travelShift: DaysLength (weeks): 13Openings: 1$2,667.00/week (estimated advertised weekly pay)DescriptionAmerican Traveler...Weekly payShift workWeekend workDay shiftWeekday work
- ...The Department of Technology, Management and Budget supports the business operations of state agencies through a variety of services, including building management and maintenance, information technology, centralized contracting and procurement, budget and financial management...Work at officeRemote workRelocationRelocation package
$2,817.11 per month
...oversees the County’s Sustainability Action Plan, advances materials management initiatives, and coordinates climate and environmental... ...sustainability as informing resident health and county decision-making. Utilizing a Health in All Policies approach, the member will engage all...Permanent employmentWork at officeLocal areaShift workAfternoon shift2 days per week- ...objectives. Resolves issues, answers inquiries, and ensures client satisfaction in support of business goals. May assist in the management of finances, logistics, and agendas. Reporting - Produces reports based on performance tracking, data analysis, and project cash...For contractorsRemote work
$138k - $160k
SMX is seeking a Senior Program Integration Specialist to join the integrated program management office (PMO) supporting multiple contracts, task orders/projects, and will serve as a liaison with government points of contact, interagency partners, and industry stakeholders...Contract workWork experience placementH1bWork at office- ...State Health Network (MSHN) is a Medicaid Managed Care Organization that coordinates... ...need. Role Description The Treatment Specialist is part of a clinical team that is responsible... ...health treatment service delivery or utilization management; 3 years’ working...Work experience placementLocal areaFlexible hours
$37.5k - $62.5k
...accommodation or an alternative application process. Youth Prevention Specialist Regular Full-Time Professional Newaygo, MI, US 3 days ago... ..., program development, and evaluation, including data management. Position will also involve project management and support of...Full timeFlexible hours$46.92k
...Responsibilities include: Providing daily supervision and mentorship Managing household routines and student schedules Administering... ...per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and...Full timeWork from homeRelocation packageFlexible hoursWeekday work- ...and apply through Jobs Hub. Job Purpose The Emergency Response Specialist is responsible for assisting in the development and... ...Participates in the development of emergency response and incident management plans/procedures, guard force operations, and physical security...Local areaHome officeFlexible hoursDay shift
- The Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in the accomplishment of assigned tasks. Essential Job Functions Follow and promote all company customer service programs,...Local areaFlexible hours
$12 - $16 per hour
Reports To: Director of Asset Management & Modernization Current Work Schedule: Monday - Friday, 8:00AM - 5:00PM - On Call FLSA: Non-exempt... ...Certification (within 1 year of employment Job Title: Intake Specialist Reports To: Director of Asset Management & Modernization...Hourly payInterim roleWork at officeMonday to Friday- Halo Land Management partners with leading energy companies to support critical oil and gas development. Our teams handle everything from title and abstracting to right of way and land negotiation. We move fast, we value accuracy, and we care about how work gets done,...Work at officeLocal area
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