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
- ...GENERAL SUMMARY: 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...SuggestedFull time
Henry Ford Health System
Troy, MI1 day 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
$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
Brooklyn, MI7 hours ago- 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- A leading healthcare provider in Michigan is looking for a Utilization Review professional to ensure accurate data entry and provide administrative support in patient scheduling. The role involves engaging with clients to facilitate their treatment process and communicating...Suggested
$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
- 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
$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, MI1 day ago- Overview Medical Review Specialist - Full time (40 hours per week), Remote in EST/CST time zones. Non-Exempt. Medlogix, LLC delivers... ..., assesses appropriate medical coding use, identifies over-utilization, and makes reimbursement recommendations. The incumbent is responsible...SuggestedRemote jobFull timeWork at office
- ...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...
$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...Hourly payRemote workPrime Therapeutics
Lansing, MI3 days 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, MI3 days 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, MI3 days 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- ...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
Michigan7 hours 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, MI3 days ago- Dialysis Clinical Manager Registered Nurse - RN page is loaded## Dialysis Clinical... ...completion of the Annual Standing Order Review and Internal Classification of Disease (ICD... ...Manages clinic financials including efficient utilization of supplies or equipment and regular...Worldwide
- ...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, MI4 days 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
- ...A medical claims solutions provider is seeking a Medical Review Specialist to work remotely in the United States. The role involves reviewing medical bills, making reimbursement recommendations, and ensuring adherence to medical billing guidelines. Candidates should possess...Remote work
Medlogix
Southfield, MI3 days ago - ...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, 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
Flint, MI7 hours 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... ...completion 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, MI4 days ago$110k
...rated community, is seeking an Assistant Director of Nursing, RN to help lead our CCRC —a role ideal for a clinical leader... ...dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management/Safety (PI/RM/S)...Local areaImmediate startRelocation packageFox Run Village by Erickson Senior Living
Novi, MI3 hours agonew
