Average salary: $65,402 /yearly
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- ...Job Title: RN - Utilization Management Clinical Reviewer Job Specific Information: Client equipment to be provided Location/locations: Remote (Priority Health) Shift Time: Days Hours: 8a - 5pm Weekend rotation: None On Call: None Required certifications: RN License Job...SuggestedRemote workShift workWeekend work
Integrated Resources
Grand Rapids, MI3 hours agonew - 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, MI2 days ago$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 workPrime Therapeutics
Lansing, MI3 hours agonew- 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
- ...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 timeShift work
Henry Ford Health System
Warren, MI1 day 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$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, MI1 day ago$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...SuggestedWork at officeLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
Lansing, MI15 hours agonew$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,...SuggestedWeekly payTemporary workShift workNight shiftFusion Medical Staffing-Nursing
Saint Joseph, MI4 days 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...Suggested
Behavioral Center of Michigan
Detroit, MI3 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...SuggestedRemote job- ...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...SuggestedPart timeReliefLocal areaShift work
Bronson Healthcare
Kalamazoo, MI1 day ago - ...JOB TITLE: Clinical Peer Reviewer REPORTS TO: President & CEO DEPARTMENT: Peer Review Committee FLSA STATUS: Hourly ? Non Exempt Summary Description Reviews patient information to ensure treatment/service provided falls within the plan guidelines and that...Hourly payPermanent employment
Advantage Health Centers
Detroit, MI3 days 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, MI4 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, MI19 hours 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, MI19 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, MI19 hours ago - ...direct and indirect patient care across the age continuum; and utilize the nursing process of assessment, planning, implementation, and... ...ensure high level of service in all areas of responsibility. Reviews daily schedule and prepares for cases based upon preference cards...Full timeLocal area
Lakes Surgery Center
Orchard Lake, 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, MI3 days ago- ...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
Michigan2 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
$1,762.44 per week
...your journey. You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country or stay close to home, our team can help you get there. With...Local areaShift workHost Healthcare
Mount Clemens, MI2 days ago- ...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, MI3 days ago $2,588 per week
...Job Details Fusion Medical Staffing is seeking a skilled CVOR RN for a 13-week travel assignment in Detroit, Michigan. As a member... ...perfusionists, and the surgical team to deliver coordinated care Utilize data from surgical preference cards for the surgical procedure...Temporary workImmediate startShift workFusion Medical Staffing
Detroit, MI7 days ago- ...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 payHourly payWeekly payDaily paidTemporary workFlexible hours
Medilodge
Lansing, MI2 days ago - ...experienced Physical Therapists licensed in Utah to join their team. This remote opportunity allows for a flexible schedule and entails reviewing clinical cases, preparing summaries, and providing advisory opinions on therapy treatments. Candidates must hold a Doctor of...Remote workFlexible hours
Dane Street
Lansing, MI3 hours agonew
