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- 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
- 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 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
$72.47k - $111.2k
...Jackson, MI area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are... ...Retirement Plan, Tuition Assistance Qualifications: RN Diploma degree or higher from an accredited school of nursing...SuggestedDaily paidFull timePart timeShift workDay shiftIncredible Health
Parma, MI10 hours ago$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- Overview Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill to reduce significant financial risk and...SuggestedFull timeWork at officeShift work
- 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
$29.05 - $67.97 per hour
Molina Healthcare in Detroit, MI is hiring a Medical Review Nurse to support medical claim reviews and align with regulatory guidelines... ...and at least 2 years of clinical experience, including utilization review. Responsibilities include reviewing medical claims, addressing...SuggestedRemote workMolina Healthcare
Detroit, MI18 hours 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
$18 - $20 per hour
A leading insurance services provider is seeking a Utilization Review Coordinator in Lansing, Michigan. The role involves assigning utilization review cases, verifying data, and providing support to clinical staff. Candidates should have a high school diploma, two years...SuggestedHourly pay- Job Summary Reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Essential Functions Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and...SuggestedCasual workWork at office
$90.87 - $154.33 per hour
...build the future of pharmacy with us. Job Title Physician Clinical Reviewer- Pediatric Neurology- REMOTE Responsibilities Reviews cases in... ...Clinical Reviewers as needed to discuss cases and problems. Utilizes medical/clinical review guidelines and parameters to assure consistency...SuggestedWork at officeLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
Lansing, MI4 days ago- ...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
$90.87 - $154.33 per hour
...healthcare solutions company is seeking a Physician Clinical Reviewer for a remote role focused on timely medical reviews of service... ...to ensure compliance with medical necessity guidelines and the utilization management process, making this a critical position in the care...SuggestedHourly payRemote workPrime Therapeutics
Lansing, MI1 day ago- ...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 - ...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 - ...Title Operating Room Registered Nurse (RN) Internship - Bronson Methodist... ...needs/strengths for assigned patients o Reviews vital signs to assess condition of patient... ...plan individualized to the patient o Utilizes the patient/family input when defining outcomes...Full timeInternshipLocal areaShift workNight shiftDay shift
Bronson Healthcare
Kalamazoo, MI2 days ago - ...completion of the Annual Standing Order Review and Internal Classification of Disease (ICD... ...clinic financials including efficient utilization of supplies or equipment and regular profits... ...of an accredited School of Nursing (RN). Current appropriate state licensure. Experience...
- ...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
- ...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 $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...Hourly payRemote workPrime Therapeutics
Lansing, MI1 day ago$63.1k - $83.65k
...Position : Utilization Review Specialist Req.# : 26-61 FTE : Full-time, Exempt Unit : UAW Department/Location : Utilization... ...clinical experience post-licensure preferred); or Registered Nurse (RN) in Michigan with at least two (2) years of clinical...Full timeTemporary workRemote workMonday to Friday- ...Battle Creek Title Registered Nurse (RN) - Emergency Department (ED) - Bronson... ...and timely discharge by the following: utilizing the nursing process of assessment, planning... .../strengths for assigned patients o Reviews vital signs to assess condition of patient...Part timeReliefLocal areaShift work
Bronson Healthcare
Battle Creek, MI10 hours ago $68k - $70k
Description Our Medical Review Nurse Analyst is responsible for conducting clinical reviews... ...'s Degree in Nursing (BSN). ~ Active RN license, applicable to state of practice... ...Experience with medical record review or utilization review. Remote Work Requirements...Contract workFor contractorsLocal areaImmediate startRemote workWPS Health Solutions
Detroit, MI4 days ago$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 timeTemporary workPart timeRemote workFlexible hoursShift workNight shiftWeekend workUniversity of Michigan
Ann Arbor, MI2 days ago$72.47k - $111.2k
...Blanc, MI area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review. ~ Shift(s) available: day shift ~ Job types available:...Daily paidFull timePart timeShift workDay shiftIncredible Health
Grand Blanc, MI10 hours ago$41.78 - $64.81 per hour
...to society. Responsibilities* Utilize the nursing process to facilitate patient... ...Three years of nursing experience as an RN within the last 5 years. Care of immunocompromised... ...hiring department. Work agreements are reviewed annually at a minimum and are subject to...Hourly payFull timeTemporary workPart timeWork at officeImmediate startRemote workMonday to FridayShift workNight shiftWeekend workDay shiftAfternoon shiftUniversity of Michigan
Ann Arbor, MI4 days ago- ...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...
- ...leading healthcare provider in Michigan seeks a dedicated Administrative Support professional to ensure efficient operations within utilization management and care management teams. This role demands excellent communication skills to assist both providers and members with...
