Utilization Review RN - Inpatient & Behavioral Health

HealthCare Support

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

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Utilization Review RN - Inpatient & Behavioral Health in Troy, MI vacancy

RN Utilization Review Nurse
$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....
Suggested
Private practice
Work at office
Healthcare Support Staffing
Troy, MI
4 days ago
RN Utilization Review Nurse — Inpatient UM Specialist
$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...
Suggested
Hourly pay
Monday to Friday
Healthcare Support Staffing
Troy, MI
2 days ago
RN - Hospital Care Management
...Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management... ...for members including Behavioral Health and Long Term Care.... ...State Nursing (RN) license in good standing...
Suggested
Work at office
Careers Integrated Resources Inc
Troy, MI
17 hours ago
Utilization Management Nurse - LPN/LVN
$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...
Suggested
Temporary work
Local area
Remote work
Integra Partners
Troy, MI
3 days ago
PRN Psychiatric Nurse Practitioner
...Level Graduate Degree Category Health Care Description Why... ...clinical care for behavioral health conditions. Pasadena... ...Disorder Network, including inpatient, intensive residential, partial... ...manner. # Collaborates with Utilization Review team, engaging in peer-to-...
Suggested
Daily paid
Relief
Work at office
Monday to Friday
Odyssey Behavioral Health LLC
Troy, MI
17 hours ago
Telemedicine RN: Compassionate Lab-Review & Patient Care
...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.
Nuform Health, Inc.
Troy, MI
2 days ago
RN- Health Care (Full-Time
...Intervention must be obtained within 30 days of employment start date (RN). Registered Nurse with a Registered Nurse Diploma. Full‑time day position – 12‑hour shifts. At least one year of behavioral health experience. Benefits Comprehensive benefits for medical,...
Full time
Temporary work
Flexible hours
Shift work
Day shift
StoneSprings Hospital Center
Sterling Heights, MI
3 days ago
Registered Nurse - Flexible Shifts, Same-Day Pay
$44.4 - $54.99 per hour
...Registered Nurse (RN) Facility: MediLodge of Shoreline Starting Wages: $44.4... ...company assistance in understanding and utilizing your benefit options. Pet Insurance :... ...employment laws. For further information, please review the Know Your Rights notice from the...
Bi-weekly pay
Hourly pay
Weekly pay
Daily paid
Temporary work
Local area
Flexible hours
Shift work
Weekend work
Medilodge
Sterling Heights, MI
17 hours ago
Psych Nurse (RN) TEMP ASSIGNMENT (PREMIUM PAY) - Night Shift
...comprehensive, compassionate behavioral health services to children, adolescents... ...: The Registered Nurse (RN) provides nursing care for... ...policies and procedures. Utilizes the nursing process in... ...Keeps treatment plan updated; reviews the plan with patients....
Hourly pay
Temporary work
Local area
Shift work
Night shift
Weekend work
Universal Health Services
Auburn Hills, MI
2 days ago
URGENT LPN/RN POSITIONS NEEDED FOR HOME HEALTH CARE
..., and promotes optimal health outcomes and patient safety... ...the scope of the RN role. ESSENTIAL... ...according to IHA Policy. # Utilizes critical thinking... ...Management, Embedded Pharmacy, Behavioral Health and Nutrition)... ...needs are met. # Reviews patient medical history...
Work at office
Local area
Immediate start
Trinity Health
Rochester Hills, MI
17 hours ago
Registered Nurse (RN) - Full Time-Nights: Psychiatric Intensive Care Unit
...Registered Nurse (RN) Responsibilities Havenwyck Hospital... ...comprehensive, compassionate behavioral health services to children, adolescents... ..., policies and procedures. Utilizes the nursing process in... ...Keeps treatment plan updated; reviews the plan with patients. Benefit...
Full time
Local area
Night shift
Alan B. Miller Medical Center
Auburn Hills, MI
17 hours ago
Registered Nurse (RN) - Full Time-Nights: Psychiatric Intensive Care Unit
...comprehensive, compassionate behavioral health services to children, adolescents... ...The Registered Nurse (RN) provides nursing care for psychiatric... ..., policies and procedures. Utilizes the nursing process in... ...Keeps treatment plan updated; reviews the plan with patients. If you...
Full time
Local area
Night shift
Universal Hospital Services
Auburn Hills, MI
3 days ago
Health Care Nurse
...The Registered Nurse (Rn) Assesses, Plans, Implements... ..., Teamwork, Resource Utilization, And Staff And Self... ...Outlined In Performance Review. Performs Other Duties... ...standards of professional behavior. Nursing practice is... ...qualifications. Comprehensive health, dental, and vision...
Temporary work
Flexible hours
Yale New Haven Health
Warren, MI
4 days ago
Registered Nurse Part Time 3rd Shift Weekends
...Join our dynamic and fast-paced inpatient nursing team on 7 Northwest, where... ...advancement. 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 time
Shift work
Night shift
Weekend work
Corewell Health
Troy, MI
1 day ago
Nursing Supervisor( LPN/RN Weekend)
...licensure. The position coordinates resource utilization, timely and appropriate care... ...facility or the units to which assigned. Reviews and implements all nursing procedures and... ...action for employees. Education • Licensed RN or LPN. Experience • Two years'...
Weekend work
Optalis Healthcare
Sterling Heights, MI
4 days ago
Assistant Director of Nursing - Behavioral Health
...Overview Henry Ford Behavioral Health is hiring a ADON (RN) to join our growing facility! Henry Ford Behavioral... ...management that ensures the best utilization of resources. Assist in the... ...psychiatric/addiction recovery environment (inpatient or outpatient) or relatable...
Local area
Immediate start
Acadia Healthcare
West Bloomfield, MI
1 day ago
Registered Nurse (RN) - FT Days Adult Unit
...Registered Nurse (RN) Havenwyck Hospital (a UHS facility)... ...comprehensive, compassionate behavioral health services to children, adolescents... ..., policies and procedures. Utilizes the nursing process in planning... ...treatment plan updated; reviews the plan with patients. BENEFIT...
Local area
Alan B. Miller Medical Center
Auburn Hills, MI
3 days ago
Psychiatric RN—Impactful Behavioral Health Care
Acadia Healthcare is seeking a Full-time Psychiatric RN at Henry Ford Behavioral Health in West Bloomfield, MI. In this role, you will provide and coordinate care by assessing patients' physical and behavioral health needs while implementing nursing care plans. Ideal candidates...
Full time
Acadia Healthcare
West Bloomfield, MI
4 days ago
Registered Nurse (RN) - PT Days Adult Unit
...comprehensive, compassionate behavioral health services to children, adolescents... ...The Registered Nurse (RN) provides nursing care for psychiatric... ..., policies and procedures. Utilizes the nursing process in... ...Keeps treatment plan updated; reviews the plan with patients. Benefits...
Local area
Havenwyck Hospital
Auburn Hills, MI
3 days ago
Behavioral Health RN - Float Pool (Night Shift)
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 paid
Night shift
McLaren Health Care
Pontiac, MI
1 day ago
RN Care Coordinator
...integrates cost, quality and utilization to facilitate the... ...discharge of the patient. Reviews and evaluates... ...outpatient, observation or inpatient services. # May review... ...Will consider non-BSN RN if actively pursuing a... ...required How Corewell Health cares for you Comprehensive...
Full time
Monday to Friday
Shift work
Weekend work
Corewell Health
Royal Oak, MI
17 hours ago
RN / Registered Nurse / Psychiatric RN / Mental Health RN
...physicians, tracks electronically. Utilizes the nursing process in... ...keeps treatment plan updated; reviews the plan with patients. Documents... .... Encourages independent behavior in patients in a therapeutic,... ...infection control and general health maintenance. Observes patient...
Behavioral Center of Michigan
Warren, MI
6 days ago
Registered Nurse (RN) - PT Days Adult Unit
...Registered Nurse (RN) Position Havenwyck Hospital (a UHS... ...comprehensive, compassionate behavioral health services to children, adolescents... ..., policies and procedures. Utilizes the nursing process in planning... ...treatment plan updated; reviews the plan with patients. Graduate...
Universal Health Services
Auburn Hills, MI
2 days ago
Team Lead Registered Nurse (RN)- Electrophysiology Lab
...function as a cath lab RN and acts as a resource... ...deliver exceptional care, utilizing the latest technology... ...Support (BLS) for all inpatient bedside care areas, and... ...modeling professional behavior both in the organization... ...and demonstrates Trinity Health Guiding Behaviors to...
Local area
Trinity Health
Pontiac, MI
3 days ago
Care Planner Rn's
...associated with Corewell Health East. Supports safe bed... ...assignments for all inpatient admissions (elective, direct... ...control requirements. Utilizes critical thinking... ...annually and completes peer reviews. Actively... ...~ Registered Nurse (RN) - State of Michigan Upon...
Full time
Shift work
Night shift
Weekend work
Corewell Health
Southfield, MI
4 days ago
Registered Nurse (RN) - Home Health Care - Flex
...Registered Nurse (RN) – Home Health Start of Care & Supervisory Visits | Metro Detroit AmeriCare Medical is a leading provider of integrated... ...ensure quality of care and regulatory compliance Develop, review, and coordinate patient care plans Perform skilled nursing...
Weekly pay
Flexible hours
Ameristaff
Sterling Heights, MI
3 days ago
Nurse Practitioner/Physician Assistant | Behavioral Health | Contingent | Nights
...facility where we provide exceptional mental health treatment services for individuals. At... ...will be responsible for caring for our inpatient hospital patients. Provides inpatient... ...medicine, social work, nursing, psychology, behavioral techs, physicians in other departments...
Shift work
Night shift
Henry Ford Health System
Ferndale, MI
3 days ago
Registered Nurse-NICU, Part Time, Night Shift
...focus on medical advancement. Scope of work The RN, under the ANA scope of practice utilizes the framework of the nursing process to provide... ...the direction of the Nurse Leader according to Corewell Health policies and procedures and recognizes the impact of nursing...
Part time
Shift work
Night shift
Weekend work
Corewell Health
Troy, MI
5 days ago
Registered Nurse RN Progressive Care Unit PCU Telemetry
$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...
Core Staffing Service
Rochester, MI
8 days ago
Registered Nurse - Flexible Shifts, Same-Day Pay
$44.4 - $54.99 per hour
...Benefits Concierge: Internal company assistance in understanding and utilizing your benefit options. Pet Insurance: Three options available.... ...staff members. Qualifications Education Graduate of accredited RN School of Nursing. Licenses/Certification Valid RN license in...
Bi-weekly pay
Hourly pay
Weekly pay
Daily paid
Temporary work
Local area
Flexible hours
Shift work
Weekend work
Medilodge
Sterling Heights, MI
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Review RN - Inpatient & Behavioral Health. Be the first to apply!