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
- ...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...Suggested
$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. Works...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- ...Summary Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the... ..., facilitates the quality of health care delivery in the most cost... .... Serves as a liaison between Inpatient Case Management and payers,...SuggestedFull timeShift work
$29.05 - $67.97 per hour
...Description Job Summary Utilizing clinical knowledge and... ..., responsible for review of documentation to ensure... ...and expedited cases, inpatient, outpatient, and pharmaceutical... ...• Registered Nurse (RN). License must be... ...Quality (CPHQ), or other health care certifications....SuggestedHourly payWork experience placementWork at office- ...Join our Henry Ford Behavioral Health team as a Full-time Behavioral Health Admissions RN on a PRN basis! This PRN position is to... ...Hospital. Key Responsibilities Review medical documentation for all... ...policies and physician orders. Utilize web‑based programs to track and...Full timeReliefLocal areaShift workNight shift
- Universal Health Services, Inc. is seeking a Nurse Manager RN for Havenwyck Hospital to oversee operations in the inpatient Adult Units. The role requires strong leadership, clinical staffing... ...management, and experience in a behavioral health setting. The ideal candidate...
$29.05 - $67.97 per hour
...Description Job Summary Utilizing clinical knowledge and... ...experience, responsible for review of documentation to... ...and expedited cases, inpatient, outpatient, and pharmaceutical... .... - Registered Nurse (RN). License must be... ...Quality (CPHQ), or other health care certifications. -...Hourly payWork experience placementWork at office- ...Henry Ford Health in Troy, Michigan, is seeking a Registered Nurse for the Central Utilization Management department. This position involves reviewing the appropriateness of services and facilitating health care delivery while maximizing reimbursement. Candidates should...
- ...Acadia Healthcare is seeking a Full-time Behavioral Health Admissions RN to join the Henry Ford Behavioral Health team in West Bloomfield, MI. This... ...night shifts as needed. Responsibilities include reviewing medical documentation, facilitating emergency transfers,...Full timeReliefNight shift
- ...Henry Ford Health in West Bloomfield, MI, is seeking a full-time Behavioral Health Admissions RN. This role involves reviewing medical documentation and facilitating emergency transfers, ensuring appropriate care for patients within behavioral health settings. The ideal...Full timeNight shift
- ...Acadia Healthcare is looking for a Full-time Behavioral Health Admissions RN in West Bloomfield, MI. This role involves reviewing medical documentation, facilitating patient admissions, and collaborating with medical staff to provide exceptional patient care. Candidates...Full timeNight shift
- ...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...Work at office
- ...telemedicine provider in Michigan is seeking a 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. Key responsibilities include documenting client...
- ...Now Hiring | Assistant Director of Nursing (RN) – Inpatient Psychiatric Setting New Baltimore, MI | Onsite | Full-Time Sign-On Bonus... ...is an opportunity to lead with purpose in a fast-paced behavioral health environment focused on safety, quality, and patient-centered...Full timeImmediate startRelocation package
- ...based and personalized clinical care for behavioral health conditions. Pasadena Villa Outpatient... ..., Eating Disorder Network, including inpatient, intensive residential, partial... ...accurate manner. # Collaborates with Utilization Review team, engaging in peer-to-peer case...Contract workReliefWork at officeLocal areaMonday to Friday
- ...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... ...preferred How Corewell Health cares for you...Full timeMonday to FridayShift workWeekend work
- ...Alternate Solutions Health Network is looking for a compassionate Hospice, General Inpatient Nurse-Case Manager. You will provide holistic care in an inpatient setting, ensuring a dignified and supportive environment for patients and their families. This role requires...Flexible hours
- ...Responsibilities Nurse Manager RN - Adult Behavioral Health HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital is a Joint Commission-accredited... ...the 24‑hour per day, 7 days per week operations of the inpatient Adult Units. Duties Assumes responsibility in cooperation...Local area
- ...McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully... ...Michigan, Indiana and Ohio. Registered Nurse - Behavioral Health (Pontiac) The Registered Nurse delivers quality nursing care through the utilization of the nursing process. Works...Full timePart time
- ...Nurse Position at McLaren Oakland Department: Behavioral Health Scheduled Bi-Weekly Hours: 72 Daily Work Times: 7:00pm to 7:3... ...Registered Nurse delivers quality nursing care through the utilization of the nursing process. Works collaboratively with other members...
- ...A community health organization located in Michigan is seeking a part-time Behavioral Health Nurse to provide high-quality nursing care for patients with mental health and... ...'s degree in Nursing and possess a current RN licensure in Michigan. The position offers the opportunity...Part time
- ...Karmanos Cancer Institute is seeking a full-time Registered Nurse for Behavioral Health in Pontiac, Michigan. The RN will deliver quality nursing care through assessment and intervention while collaborating with healthcare team members. Candidates must possess an Associate...Full timeNight shift
- ...Portsmouth Regional Hospital seeks a Registered Nurse (RN) for our Inpatient Surgical Unit. In this fast‑paced role, you will deliver high‑quality, evidence‑based care to post‑surgical patients, including assessment, medication administration, pain management, and discharge...
- ...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
- ...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...Part timeLocal area
- ..., and promotes optimal health outcomes and patient safety... ...the scope of the RN role. ESSENTIAL JOB FUNCTIONS... ...to IHA Policy. Utilizes critical thinking skills... ...Management, Embedded Pharmacy, Behavioral Health and Nutrition)... ...patient needs are met. Reviews patient medical history...Work at officeLocal areaImmediate start
- ...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...Local areaNight shift
- TRILLIUM BEHAVIORAL PATHWAYS LLC in Warren, Michigan is looking for a House Supervisor. This role is crucial for overseeing nursing staff, ensuring quality patient-centered care, and managing admissions during shifts. The ideal candidate will be a registered nurse with...Shift work
- ...About the unit We are a 25-bed Inpatient Rehabilitation Unit consists of a Multidisciplinary Team of RN's; NA's; Clinical Assistants;... ...the ANA scope of practice utilizes the framework of the nursing process... ...Leader according to Corewell Health policies and procedures and...Full timeShift workNight shiftWeekend work
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