Care Review Clinician
Careers Integrated Resources Inc
Care Review ClinicianIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.Job DescriptionLocation: Troy, MIShift: M-F 8:30 am to 5 pmDuties:Will be an inpatient UM, get cases from hospitals, review info about patient, enter info into computer system (interqual, or MCG) determine if it meets criteria, work with medical director for approval, notify Hospital of approval. Follow members from admission process all the way through to discharge, find discharge plan and where patient is being discharged to.Top 3 Skills: Strong Communication both verbal and written Attention to detail Computer skillsQualificationsMust Haves: UM experience Computer skills Licensed RN in the state of Michigan. Nice to Have: Familiar with interqual or MCG softwareAdditional InformationKind Regards,Kavita KumariClinical RecruiterIntegrated Resources, Inc.IT Life Sciences Allied Healthcare CRODIRECT # - View phone number on click.appcast.io Careers Integrated Resources Inc
- ...Friday Only - 8 am - 5 pm Responsibilities Perform utilization reviews in skilled nursing facilities. Assess patient transfer needs... ...facility cases to determine medical necessity and appropriate level of care. Qualifications Experience with MCG guidelines (6-12 months of...SuggestedWork at officeMonday to FridayShift work
- ...Care Review Clinician II Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission...SuggestedWork at officeShift work
- ...Participates in interdepartmental integration and collaboration to enhance the continuity of care for members including Behavioral Health and Long Term Care • Providing utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses...SuggestedPrivate practiceImmediate start
- ...this is the position for you! Responsibilities Provides concurrent review and prior authorizations (as needed) according to Molina policy... ...Qualifications Utilization Review background in either Managed Care of Provider environment (at least one year) RN License in...Suggested
- A healthcare staffing firm is seeking an experienced Registered Nurse in Michigan to provide utilization review for healthcare services. Candidates should possess a valid RN license and experience in both utilization review and Interqual. This opportunity offers a competitive...Suggested
- ...is seeking a Registered Nurse to handle patient communications, review lab results, and resolve inquiries. The ideal candidate should possess... ...documenting client interactions and ensuring continuity of care in a fast-paced environment. This role demands high organization...
- ...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 relevant...
$33 - $37 per hour
...career! Job Description Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare... ...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- ...time Utilization Management Clinical Analyst to lead prospective reviews of authorization requests for behavioral health services. You... ...expertise to determine medical necessity and appropriate level of care, aligning with Medicaid guidelines and the Michigan Mental Health...Full time
$33 - $37 per hour
...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 two...Hourly payMonday to Friday$65 - $100 per hour
...Job Description Job Description JOB TITLE: HOME HEALTH CARE, REGISTERED NURSE (WAYNE/OAKLAND COUNTY) ***HIRING IMMEDIATELY***... ...home clients to evaluate the quality of care being provided and reviews clinical notes. *Completes nursing initial and ongoing assessments...Immediate startFlexible hours- ...from you! Responsible for the delivery of professional nursing care in the operative setting to patients undergoing surgical or... ...goals of the organization. Job Domains Circulating: Review preoperative assessment, provide education to patient and family...Full timePart timeFlexible hours
- ...Job Description Description: MI HIDE Registered Nurse Field Care Manager Must be Certified Register Nuse in State of MI with Below... ...health care and advocating for optimal member outcomes. Will review, assess, and complete medical complexity attestations and...Permanent employmentFull timeWork from homeHome office
- ...Therapist to join our clinical team and help drive exceptional care. In this role, you will guide patients through therapeutic... ...including daily process groups and multidisciplinary treatment reviews, promoting open self-disclosure and collaboration on patient needs...Full timeTemporary workLocal areaWeekend work
$1,000 per week
...facility State MI City Rochester Check Out These Reviews FROM REAL HOST HEALTHCARE TRAVELERS: "Host is the best... ...Pet-Friendly Housing ~ Dedicated Recruiter and 24/7 Customer Care Line ~ Per Diem Allowance and Paid Travel ~ Licensure and...Daily paidContract workImmediate startShift workNight shift- ...qualified candidates and build our team ahead of opening day. Please review the full job posting below for position details, qualifications,... ...the severity of patients conditions, and prioritizing care based on the urgency of symptoms. Applicants with Athena...Full timeWork experience placementPrivate practiceWork at office
- ...small business that offers skilled home care services. Welcome to Freedom at Home! Freedom... ..., dedicated, and hard working clinicians. Clinicians who value their work and take... ...etc.). Performs physical examination and review of all body systems and documents accordingly...Daily paidFull timePart timeWork at office
- ...Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of...Work at office
$27 - $52 per hour
...goal is to create a destination where customers feel confident, cared for, and excited to participate. About This Role: Rowan's... ...intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and...Hourly payFull timeLocal areaRemote workFlexible hoursShift workWeekend work$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- ...the physician in charge of the practice. Deliver primary medical care to patients. Maintain accurate and current patient records and... ...and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating...Full timeWork at officeLocal area
- Thriveworks is seeking licensed clinicians in Michigan to provide compassionate care through a hybrid model in Troy, MI. You will deliver telehealth and in-person sessions, manage a robust caseload, and support clients with evidence-based practices. The role emphasizes...
- Thriveworks is seeking licensed clinicians to provide compassionate, evidence-based care to clients in Troy, MI through a mix of telehealth and face-to-face sessions. Independently licensed LMSW with the ability to deliver 25+ sessions weekly (30 hours) across various...
- Thriveworks is hiring licensed clinicians to provide a mix of telehealth and face-to-face sessions in Troy, MI. We support you with credentialing... ...billing, scheduling, and marketing so you can focus on patient care. Ideal candidates are independently licensed in Michigan with...Flexible hoursAfternoon shift
- ...state-of-the-art center provides advanced specialty and routine care with an emphasis on patient satisfaction and a focus on medical... ...Care at all times. Qualifications Required Graduate of Joint Review Committee on Education in Radiologic Technology (JRCERT)...Part timeReliefShift workNight shiftWeekend work
- ...procedures of the community during drills and emergencies. Performs admission and periodic reviews on residents for functional and mental abilities. Reviews/revises assessments and care plans at admission, periodically per regulation, and at change in resident physical or...Flexible hoursShift work
- ...academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and... ...supplements, and other medications that support patient health **Review labs together** with patients each month-turning numbers into meaningful...Full timeInternshipRelocation packageFlexible hours
- ...families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make... ...grief (patient and family), and interest in life legacy/review interventions. Utilizes interventions such as relaxation, imagery...Full time
$2,000 per month
...provider-we're a trusted partner in patient care. As a national leader inventilators,... ...independently, and actively. Whether you're a clinician, technician, or healthcare administrator,... ...(e.g., patient history, symptom review, etc.) Physical assessment (e.g., lung...Contract workWork experience placementWork at officeLocal areaRelocation packageFlexible hours- ...academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and... ...the provider. Prepare medication refill/request for provider review and signature in EHR. Qualifications EDUCATION/EXPERIENCE...Full timeRelocation packageMonday to Friday
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