Utilization Review RN - Inpatient & Behavioral Health
Healthcare Support Staffing
A 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 relevant experience in a managed care environment, specifically with Interqual. This opportunity offers the chance to further your career with a prestigious healthcare company in Michigan. #J-18808-Ljbffr Healthcare Support Staffing
$33 - $37 per hour
...facilities including: Fortune 100 Health Plans, Mail Order Pharmacies,... ...Are you an experienced RN Utilization Review Nurse looking for a new opportunity... ...line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare....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 for Medicaid and Medicare, managing authorization processes, and collaborating with healthcare teams to ensure quality care. Ideal...SuggestedHourly payMonday to Friday- A leading staffing firm is seeking a Utilization Management professional who is responsible for inpatient medical necessity and utilization review. The ideal candidate will have an RN license, strong problem-solving skills, and at least 4 years of clinical nursing experience...Suggested
- ...Responsibilities Provides concurrent review and prior... ...members as part of the Utilization Management team Identifies... ...of business. Primarily inpatient, skilled nursing facilities, rehab, behavioral health, and home healthcare... ...environment (at least one year) RN License in Michigan...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
- ...Description Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization... ...care for members including Behavioral Health and Long Term Care.... ...unrestricted State Nursing (RN) license in good...Work at office
- ...About this unit We are a 64 bed Inpatient Rehab Unit that sees a variety of... ...Excellence. Scope of work The RN, under the ANA scope of practice utilizes the framework of the nursing... ...Nurse Leader according to Corewell Health policies and procedures and recognizes...Part timeShift workNight shiftWeekend work
$60k
...care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key role... ...including but not limited to InterQual, CMS guidelines, health plan medical policies, etc. Experience writing denial letters...Temporary workLocal areaRemote work- ...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.... ...the ability to interpret laboratory results effectively. #J-18808-Ljbffr Nuform Health, Inc.
$2,606 per week
...Registered Nurse (RN) | Labor & Delivery Location: Rochester, MI Agency: Cynet Health Pay: $2,606 per week Shift Information... ...Minimum of 2 years of recent inpatient Labor & Delivery experience... ...compassionate patient care. Utilizes the nursing process of...Full timeContract workShift workNight shiftWeekend work- ...State of MI with unencumbered license, BSN preferred; Minimum 2 years’ experience in a managed care environment, preferably in a utilization related role; Must have one year of experience with a frail, elderly population WORK ENVIRONMENT Professional office...Work at office
- ...seeking an experienced Assistant Director of Nursing (RN) to lead nursing operations within an inpatient psychiatric hospital in New Baltimore, Michigan.... .../CNO in planning, coordinating, and supervising behavioral health services to ensure high-quality patient care and regulatory...
- ...OaklandRequisition #: 26004044Department: Behavioral HealthScheduled Bi-Weekly Hours: 7a-7:30... ...quality nursing care through the utilization of the nursing process. Works collaboratively... ...professional development.Qualifications:Required:RN licensureBCLSACLS for required for...
- ...case management activities for Health Alliance Plan (HAP) Special... ...to reduce avoidable utilization and encourage appropriate resource... ...transportation and housing) and behavioral health concerns including... ..., palliative care, hospice, inpatient extended care facilities,...
- ...and onsite. Scope of work The RN, under the ANA scope of practice utilizes the framework of the nursing... ...Nurse Leader according to Corewell Health policies and procedures and recognizes... ...within 2 years ~ Direct inpatient care Preferred ~1 year of experience...Full timeRemote workShift workNight shiftWeekend work
- ...free and onsite. Scope of work The RN, under the ANA scope of practice utilizes the framework of the nursing... ...Nurse Leader according to Corewell Health policies and procedures and recognizes... ...recommended within 2 years Direct inpatient care Preferred 1 year of experience...Hourly payFull timeShift workNight shiftWeekend work
- ...coordination and delivery of high-quality, compassionate patient care. Utilizes the nursing process—including assessment, planning,... ...interventions.Required Skills & ExperienceMinimum of 2 years of recent inpatient Labor & Delivery experience.Clinical knowledge and analytical...
- ...comprehensive, compassionate behavioral health services to children, adolescents... ...: The Registered Nurse (RN) provides nursing care for... ...policies and procedures. Utilizes the nursing process in planning... ...treatment plan updated; reviews the plan with patients....Full timeLocal areaNight shift
- ...and onsite. Scope of work The RN, under the ANA scope of practice utilizes the framework of the nursing... ...Nurse Leader according to Corewell Health policies and procedures and recognizes... ...within 2 years ~ Direct inpatient care Preferred ~1 year of experience...Hourly payFull timeShift workNight shiftWeekend work
$1,828 per week
...of quality compassionate patient care. Utilizes the nursing process of assessment, planning... ...pertinent patient/family information to health care team. Participates in finding... .... Comments o Minimum of 1 year of inpatient experience o Telemetry experience preferred...- ...MI Registered Nurse (RN) Contract Title... ...Minimum of 2 years of recent inpatient Labor & Delivery experience... ...quality compassionate patient care. Utilizes the nursing process of... ...patient/family information to health care team. Participates in finding...Contract workRemote workFlexible hoursShift workWeekend work
- ...comprehensive, compassionate behavioral health services to children, adolescents... ...: The Registered Nurse (RN) provides nursing care for... ...policies and procedures. Utilizes the nursing process in planning... ...treatment plan updated; reviews the plan with patients....Hourly payTemporary workLocal areaShift workNight shiftWeekend work
- ...oriented Registered Nurse specializing in Behavioral Health to join our healthcare team in Warren,... ...and behavioral health challenges, utilizing evidence-based nursing practices and therapeutic... ...Current, active Registered Nurse (RN) license in the state of practice...Part timeDay shift
- Havenwyck Hospital, a UHS facility in Auburn Hills, MI, is seeking a Nurse Manager RN for Adult Behavioral Health. The role oversees 24/7 operations on the acute inpatient unit, leads staff, and ensures high-quality patient care within a behavioral health setting. Qualified...
- ...Assistant Director of Nursing (RN)Client is seeking an experienced Assistant Director... ...leadership operations within an inpatient psychiatric hospital setting in New Baltimore... ...and supervising nursing operations and behavioral health services while ensuring high-quality...Local area
- McLaren Health Care in Pontiac, Michigan is seeking a Registered Nurse. This role involves... ...delivering high-quality nursing care by utilizing the nursing process, collaborating with healthcare... ...-centered care. The position requires RN licensure and certification in BCLS, with...Daily paidNight shift
- ...DIFFERENCE: As a Registered Nurse (RN) Preceptor, Hospice the work... ...clinical policies. Policies: Reviews clinical documentation in... ...electronic medical documentation. Utilization of nursing best practices and... ...must be in the provision of home health care or hospice. Previous...Local areaMonday to Friday
- McLaren Health Care in Pontiac, MI is seeking a licensed Registered Nurse for the Behavioral Health department. The role involves delivering high-quality nursing care using the nursing process and working with the healthcare team to uphold professional standards. Schedule...Full timeDay shift
$39 - $44.33 per hour
...Baltimore's leading Mental Health and Addiction Treatment... ...Registered Nurses (RN) to join our team in New... ...Key Responsibilities Review medical documentation for... ...assessing medical and behavioral acuity and responding... ...and physician orders. Utilize web-based programs to track...Hourly payFull timeTemporary workLocal areaImmediate startShift workWeekend workDay shift- Henry Ford Health in Michigan is seeking a Behavioral Health Registered Nurse to lead compassionate care, coordinate nursing actions, and document outcomes... ...setting. The position requires a BSN or equivalent, Michigan RN licensure, BCLS certification, and the ability to plan...Relocation packageNight shift
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