Average salary: $65,402 /yearly
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$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- 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...SuggestedPart timeReliefShift work
- A regional healthcare provider is seeking a part-time RN Utilization Review Specialist in Caledonia, Michigan. The role involves assessing inpatient admissions, advocating for patients within acute care services, and educating medical staff on utilization management. Ideal...SuggestedPart timeReliefDay shift
$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...SuggestedWeekly payShift workCarilion Roanoke Memorial Hospital
Lansing, MI3 days ago- 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
$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...SuggestedRemote job- 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
$33 - $37 per hour
...today to see how a conversation can turn into a long‑lasting and rewarding career! Job Description Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Utilization Review Nurse. Do you want the...SuggestedPrivate practiceWork at office$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...SuggestedFor contractorsH1bWork at officeLocal areaRemote workPublic Consulting Group
Lansing, MI2 days ago- 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...SuggestedWork at office
- 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
- ...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...SuggestedFull timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
St. George Tanaq Corporation
Lansing, MI32 minutes agonew $90.87 - $154.33 per hour
...purpose-driven career? Come build the future of pharmacy with us. Job Title : Physician Clinical Reviewer - Rheumatology - REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially...SuggestedRemote jobWork at officeLocal areaVisa sponsorshipWork visa$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...SuggestedRemote job- ...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
$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,...Weekly payTemporary workShift workNight shiftFusion Medical Staffing-Nursing
Saint Joseph, MI16 hours ago- ...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...
Behavioral Center of Michigan
Warren, MI4 days ago $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...Remote job- ...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...Full timeTemporary work
CHRISTUS Health
Flint, MI5 days ago - ...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...Part timeReliefLocal areaShift work
Bronson Healthcare
Kalamazoo, MI2 days ago - ...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 officeLocal area
ICONMA
Detroit, MI1 day ago - ...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...Local areaImmediate startRelocation packageShift workNight shiftWeekend work
Henry Ford Health System
Grand Blanc, MI1 day ago - ...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 workWork at office1 day per week
Tekwissen
Detroit, MI16 hours ago - ...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...ReliefWork at officeImmediate startRemote workShift work
- ...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...Work at officeShift work
Beacon Health System
Kalamazoo, MI1 day ago $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 payFull timeLocal areaFlexible hoursShift workDetroit Medical Center
Hamtramck, MI4 days agoPhysician 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 payPermanent employmentAdvantage Health Centers
Detroit, MI12 hours agonew- ...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 paidFull timeTemporary workShift work
AMN Healthcare
Michigan3 days ago - ...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 workLocal areaImmediate startRelocation package
- ...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 employmentTemporary workWork at officeFlexible hours
MyCare Health Center
Center Line, MI4 days ago
