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
Vacancy posted 16 hours ago
Similar jobs that could be interesting for youBased on the Utilization Review RN - Inpatient & Behavioral Health in Troy, MI vacancy
$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
- ...hours per week, day shift About the Department Join the Health Alliance Plan (HAP) team, a mission-driven health plan... ...care in the most appropriate settings. Role Overview As a Utilization Review (UR) Nurse, you will ensure services meet members' health needs...Part timeWork at officeDay shift
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- ...Job Summary Our client is seeking a Utilization Review Nurse to manage the full lifecycle of... ...organization grows. Qualifications Active RN license and BSN required. Experience... ...or Utilization Review/Appeals within a Health Plan or TPA. Strong clinical...Minimum wageTemporary workLocal area
Medix
Southfield, MI16 hours ago - ...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
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...Description Job Description Full Time: Registered Nurse (RN) – Behavioral Health / Psychiatric Nursing 7:00PM-7:30AM Shift Starting at... ...nursing care to pediatric patients within our specialized Inpatient Psychiatric Developmental Disability Unit. The preferred...Hourly payFull timeShift workNight shiftWeekend workAfternoon shiftStraith Hospital
Southfield, MI5 days ago- ...information with the IDT, audit EMR accuracy, and educate staff on authorization procedures to improve compliance and quality of care. Must hold MI RN license (BSN preferred) with 2+ years in managed care and 1 year with frail elderly. #J-18808-Ljbffr PACE Southeast MichiganWork at office
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John Paul Home Care
Franklin, MI5 days ago - ...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
Universal Health Services
Auburn Hills, MI4 days ago - ...Admissions Rn At Henry Ford Behavioral Health Join our admissions team at Henry Ford Behavioral Health in West Bloomfield, MI as an Admissions... ...admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate...Shift workWeekend workAfternoon shift
Acadia Healthcare
Orchard Lake, MI4 days ago - ...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
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Auburn Hills, MI3 days ago - ...At Henry Ford Health, we're committed to advancing health and... ...Registered Nurse specializing in Behavioral Health to join our healthcare... ...behavioral health challenges, utilizing evidence-based nursing... ...Current, active Registered Nurse (RN) license in the state of practice...Part timeDay shift
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Warren, MI13 days ago - ...Registered Nurse (RN) Position at Havenwyck Hospital Havenwyck... ...comprehensive, compassionate behavioral health services to children,... ...policies and procedures. Utilizes the nursing process in planning... ...Keeps treatment plan updated; reviews the plan with patients....Full timeLocal areaNight shift
Havenwyck Hospital
Auburn Hills, MI3 days ago $39 - $44.33 per hour
...Baltimore's leading Mental Health and Addiction Treatment... ...Registered Nurses (RN) to join our team in New... ...Responsibilities: • Review medical documentation for... ...assessing medical and behavioral acuity and responding... ...physician orders. • Utilize web-based programs to track...Hourly payFull timeTemporary workLocal areaImmediate startShift workWeekend workDay shiftAcadia Healthcare
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