Average salary: $65,402 /yearly

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  • RN Utilization Review Specialist PRN

    RN Utilization Review Specialist PRN Corewell Health Location: 4700 60th St - Grand Rapids, MI Employment Type: Part time Shift: Day (United States of America) Hours of Work: 8:00 a.m. to 4:30 p.m. Job Responsibilities Provides health information, interacts and acts... 
    Suggested
    Part time
    Relief
    Shift work

    Corewell Health

    Caledonia, MI
    5 days ago

  • RN - Utilization Review

    $2,326 per month

     ...Client Name Sparrow Hospital Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 15464574 Weekly Pay $2326.0 Shift Details Shift 5X8 Days... 
    Suggested
    Weekly pay
    Shift work

    Carilion Roanoke Memorial Hospital

    Lansing, MI
    3 days ago

  • Remote Cardiology Medical Reviewer — Utilization

    $90.87 - $154.33 per hour

    A healthcare company in Michigan is seeking a Physician Clinical Reviewer - Cardiology to join their utilization management team. The role entails reviewing medical service requests, ensuring compliance with guidelines, and collaborating with physicians to provide critical... 
    Suggested
    Remote job

    Prime Therapeutics

    Lansing, MI
    2 days ago

  • Utilization Review Nurse

    $76k - $85k

     ...sector. To learn more, visit . PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing...  ...environment, Medicaid or hospital utilization management RN required Working Conditions ~ Remote The above is... 
    Suggested
    For contractors
    H1b
    Work at office
    Local area
    Remote work

    Public Consulting Group

    Lansing, MI
    3 days ago

  • Utilization Review Nurse - Appeals & Care Optimization

    A healthcare company is seeking a Registered Nurse for Utilization Management in Michigan. This role involves reviewing services and patient care quality, conducting stay reviews, and preparing appeals to payors. Candidates must be licensed in Michigan with three years... 
    Suggested
    Work at office

    Infor

    Lansing, MI
    2 days ago

  • Clinical Appeals Reviewer (Licensed Healthcare Professional)

     ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States...  ...including but not limited to Registered Nurses (RN), Physical Therapists (PT), Occupational...  ...to Medicare managed care appeals or utilization management activities, preferred. Must... 
    Suggested
    Full time
    Contract work
    Part time
    For contractors
    Work at office
    Local area
    Remote work
    Night shift

    St. George Tanaq Corporation

    Lansing, MI
    9 hours ago

  • Remote Physician Clinical Reviewer - Allergy/Immunology

    $90.87 - $154.33 per hour

     ...pharmacy benefit manager is seeking a remote Physician Clinical Reviewer - Allergy/Immunology to conduct medical reviews and interact...  ...possess a DO, MBBS, or MD, with 5+ years of clinical experience in utilization management. This role requires effective communication skills... 
    Suggested
    Remote job

    Prime Therapeutics

    Lansing, MI
    2 days ago

  • Care Review Clinician - UR RN

     ...you! Responsibilities Provides concurrent review and prior authorizations (as needed)...  ...policy for Molina members as part of the Utilization Management team Identifies appropriate benefits...  ...Provider environment (at least one year) RN License in Michigan Interqual experience... 
    Suggested

    Healthcare Support Staffing

    Troy, MI
    1 day ago

  • Travel Nurse RN - PreOp / PACU - Post Anesthesia Care - $1,924 per week

    $1,924 per week

     ...Staffing-Nursing is seeking a travel nurse RN PreOp / PACU - Post Anesthesia Care for a...  ...patients pre-operatively, including reviewing medical history, performing physical examinations...  ...Respond promptly to emergency situations utilizing Pre/post op nursing standards, policies,... 
    Suggested
    Weekly pay
    Temporary work
    Shift work
    Night shift

    Fusion Medical Staffing-Nursing

    Saint Joseph, MI
    1 day ago

  • RN / Registered Nurse / Psychiatric RN / Mental Health RN

     ...medication as ordered by physicians, tracks electronically. Utilizes the nursing process in planning, providing and evaluating each...  ...and established standards of care; keeps treatment plan updated; reviews the plan with patients. Documents nursing interventions and... 
    Suggested

    Behavioral Center of Michigan

    Detroit, MI
    5 days ago

  • Remote Ophthalmology Physician Clinical Reviewer

    $90.87 - $154.33 per hour

    A healthcare organization seeks a Physician Clinical Reviewer in Ophthalmology (REMOTE) to join a utilization management team. The role requires reviewing clinical cases, ensuring compliance with medical necessity guidelines, and interacting with physicians and other stakeholders... 
    Suggested
    Remote job

    Prime Therapeutics

    Lansing, MI
    1 day ago

  • RN I, Registered Nurse I - Cardiac

     ...plan prior to the initial team conference. Reviews and updates nursing care plan and...  ...and documents their response to teaching. Utilizes, adapts, and revises teaching resources to...  ...months to a year of experience as a licensed RN or holder of an active GN permit Licenses... 
    Suggested
    Full time
    Temporary work

    CHRISTUS Health

    Flint, MI
    6 days ago

  • Registered Nurse (RN) - Bronson Outpatient Surgery - PRN

     ...Surgery Center Title Registered Nurse (RN) - Bronson Outpatient Surgery - PRN...  ...outcomes and timely discharge by the following: utilizing the nursing process of assessment,...  ...needs/strengths for assigned patients o Reviews vital signs to assess condition of... 
    Suggested
    Part time
    Relief
    Local area
    Shift work

    Bronson Healthcare

    Kalamazoo, MI
    3 days ago

  • RN Registered Nurse - Cardiac Clinical Coordinator

     ...procedures through ongoing research and review of the current literature. Ensures compliance...  ...ensuring the data accurately represents utilization trends and patterns. Prepares...  ...program. Current license to practice as an RN in Michigan is required. A clinical Master... 
    Suggested
    Work at office
    Shift work

    Beacon Health System

    Kalamazoo, MI
    2 days ago

  • RN Registered Nurse -Electrophysiology Float - Cath Labs - PT Days 7a-5:30p

     ...professional and interpersonal communication. - Utilize a variety of pharmacologic and non-...  ...Evaluation: (C) Competent (NT) Needs Training or Review. - Standards of Performance: - Seven...  ...Requires a graduate of an approved professional (RN) nursing program. EP experience working... 
    Suggested
    Local area
    Immediate start
    Relocation package
    Shift work
    Night shift
    Weekend work

    Henry Ford Health System

    Grand Blanc, MI
    2 days ago

  • Registered Nurse-Review Analys

     ...vision, plans for employers, etc. Title: Registered Nurse-Review Analys Work Location: Detroit, MI, 48226 Duration: 10...  ...of policies and documents for Criteria Review Commitee and Utilization Management Committee Meetings Research CPT or HCPCS codes... 
    Contract work
    Work at office
    1 day per week

    Tekwissen

    Detroit, MI
    1 day ago

  • PRN Dialysis Registered Nurse, RN

     ...founded over 30 years ago by a Dialysis RN who believes everyone is entitled to excellent...  ...as a resource for staff. You will be utilizing your assessment skills, technical skills,...  ...based on current knowledge; consistently reviews and evaluates priorities as changes occur... 
    Relief
    Work at office
    Immediate start
    Remote work
    Shift work

    Rendevor Dialysis

    Detroit, MI
    1 day ago

  • Registered Nurse-Review Analys

     ...Insurance company, is looking for a Registered Nurse-Review Analys for their Detroit, MI location. Responsibilities: The RN Analyst Reviewer role encompasses the processing of inpatient admission requests utilizing InterQual criteria to determine the medical... 
    Work at office
    Local area

    ICONMA

    Detroit, MI
    2 days ago

  • Medical Surgical Nurse (MS RN)

     ...Job Details MS RN's care for adult patients who are acutely ill with a wide variety...  ...quality nursing care through the utilization of the nursing process. Works collaboratively...  ...forward Upon Submission: AHSA will review and deem a clinician's application eligible... 
    Daily paid
    Full time
    Temporary work
    Shift work

    AMN Healthcare

    Michigan
    4 days ago

  • staff - Registered Nurse (RN) - Case Management - $31-42 per hour

    $31 - $42 per hour

     ...Medical Center is seeking a Registered Nurse (RN) Case Management for a nursing job in...  ...Summary Description Oversees hospital utilization performance improvement and operational management...  ..., c) ensures medical necessity review processes are completed accurately and in... 
    Hourly pay
    Full time
    Local area
    Flexible hours
    Shift work

    Detroit Medical Center

    Hamtramck, MI
    5 days ago

  • Physician Assistant / ObGyn / Michigan / Permanent / Peer Reviewer - Clinical - Physician, Physician

     ...JOB TITLE: Clinical Peer Reviewer Like the look of this opportunity Make sure to apply fast, as a high volume of applications is expected Scroll down to read the complete job description. REPORTS TO: President & CEO DEPARTMENT: Peer Review Committee FLSA STATUS: Hourly... 
    Hourly pay
    Permanent employment

    Advantage Health Centers

    Detroit, MI
    21 hours ago

  • Dialysis Clinical Manager Registered Nurse - RN

     ...hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations. Provides technical...  ...and collection activities. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to... 
    Temporary work
    Local area
    Immediate start
    Relocation package

    Fresenius Medical Care

    Romulus, MI
    5 days ago

  • Medical Records - Field Reviewer

     ...Medical Records - Field Reviewer Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides...  ...requirements Qualifications: Must be an RN, LPN, Certified Coder, RHIT, RHIA, MA or Medical Records Professionals... 
    Permanent employment
    Full time
    Live in
    Work from home

    Altegra Health

    Grand Rapids, MI
    1 day ago

  • Physician Assistant / Emergency Medicine / Michigan / Permanent / Physician Assistant

     ...families. ~ Collect and construct identifying information by reviewing past and present medical, social, and family histories,...  ...according to patient wishes. ~ Charts in the medical record utilizing age-appropriate wellness assessment tools, assuring accurate... 
    Permanent employment
    Temporary work
    Work at office
    Flexible hours

    MyCare Health Center

    Center Line, MI
    5 days ago

  • Utility Permit Specialist

     ...candidates currently residing in Michigan. Our Client, a Public Utility that provides natural gas and electricity to the majority of...  ...Coordination team. The Permit Coordination team is responsible for reviewing all preplanned work for needed permits, applying for permits,... 
    Contract work
    Work at office
    Remote work
    Flexible hours

    iMPact Business Group

    Lansing, MI
    1 day ago

  • RN Wound Care Nurse

     ...company assistance in understanding and utilizing your benefit options. Pet Insurance :...  ...MediLodge today! Summary: The Wound Care RN plans, coordinates, and provides total...  ...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
    Flexible hours

    Medilodge

    Lansing, MI
    3 days ago

  • Advanced Practice Professional (Nurse Practitioner) Cardiovascular ICU Advanced Practice Team

    $138.49k - $213.66k

     ...as deemed necessary in the best interests of patient care. Utilize new improvements and/or technologies that relate to job assignment...  ...of a Physician Assistant program accredited by Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or... 
    Full time
    Temporary work
    Part time
    Remote work
    Flexible hours
    Shift work
    Night shift
    Weekend work

    University of Michigan

    Ann Arbor, MI
    3 days ago

  • Medical Social Worker - PRN Status - Bronson At Home

     ...critical thinking in providing services to patients • Regularly utilizes effective negotiation and conflict resolution skills as needed....  ...status of recipient rights at Bronson LakeView Hospital and a review of the operations of the Office of Recipient Rights. The report... 
    Contract work
    Part time
    Relief
    Work at office
    Immediate start
    Work from home
    Shift work

    Bronson Healthcare

    Springfield, Calhoun County, MI
    3 days ago

  • Remote Dermatology Physician Reviewer | Utilization

    $90.87 - $154.33 per hour

    A care-focused pharmacy organization seeks a Physician Clinical Reviewer specializing in dermatology. This remote position involves reviewing service requests, collaborating with healthcare providers, and ensuring compliance with medical necessity guidelines. Candidates... 
    Remote job
    Hourly pay

    Prime Therapeutics

    Lansing, MI
    2 days ago

  • Residential Youth Caregiver - Relocation to Hershey, PA Required

    $44.77k

     ...Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance... 
    Full time
    Relocation
    Relocation package
    Flexible hours
    Weekday work

    Milton Hershey School

    Grand Haven, MI
    5 days ago