Showing 1-20 of 89
Showing 1-20 of 89

Utilization Review Rn jobs near Novi, MI

Catapult Consultants, LLC-Bingham Farms, MIEst. salary: $37,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Catapult Consultants is seeking a Utilization Review Nurse (also known as Lead Claims Review Analyst or Medical Review Nurse) to perform pre- and/or post-pay...

Veterans Affairs, Veterans Health Administration-Detroit, MISalary: $55,000 - $93,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Manages virtual/F2F in-depth and ongoing reviews. Reviews and addresses Team PACT performance measures. Identifies high risk for hospitalization veterans by...

Aetna-Detroit, MIEst. salary: $52,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

RN or LPN with strong leadership is required. Daily operations of case management, utilization management departments....

Catapult Consultants-Bingham Farms, MIEst. salary: $39,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Catapult Consultants is seeking a Utilization Review Nurse (also known as Lead Claims Review Analyst or Medical Review Nurse) to perform pre- and/or post-pay...

Oak Street Health-Detroit, MISalary: $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Transitional Care RN. In partnership with the clinic administrator (CA), support interviewing/ resume review for clinical staff....

Henry Ford Health System-Detroit, MIEst. salary: $44,000 - $58,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Coordinates bed utilization across all hospital patient care units, Emergency Department, and all internal and external points of entry....

Harper Hospital-Detroit, MI

Utilization Management supporting medical necessity and denial prevention. The RN Case Manager is responsible to facilitate care along a continuum through...

InforMed Med Mgmt Services-Detroit, MI

Both perform some functions of Personal Health Management and Utilization Management. The UMN provides utilization review/pre-certification or pre-notifications...

Guardian Angel Home Health-Rochester Hills, MIEst. salary: $73,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Current RN licensure in the State of employment. Reviews departmental trends and facilitates improvement of processes through Process Improvement activities....

Trusted Health Plan-Detroit, MIEst. salary: $41,000 - $57,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Of utilization review or managed care experience preferred. RN or LPN/LVN; Identifies appropriate requests for medical director review....

Harper Hospital-Detroit, MI

Utilization Management supporting medical necessity and denial prevention. The RN Case Manager is responsible to facilitate care along a continuum through...

Henry Ford Health System-Southfield, MIEst. salary: $46,000 - $66,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Completes medication reconciliation and review. Presents medically complex cases to the Medical Director for review....

Vibra Healthcare-Detroit, MI

Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models....

Ciena Healthcare Management-Southfield, MIEst. salary: $44,000 - $59,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Registered Nurse, RN with Michigan license. Assesses resident through physical assessment, interview and chart review....

Metro Health Care-Southfield, MIEst. salary: $65,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

RN. Review and approve corporate schedules weekly. Ensuring proper utilization of Agency clinical services....

Trinity Health-Pontiac, MIEst. salary: $65,000 - $92,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Knowledge of federal, state and local regulations affecting the utilization review program. Provides all external review organizations the information necessary...

Guardian Angel Home Health-Rochester Hills, MIEst. salary: $42,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Participates in quarterly utilization review and chart audits (peer and self) for OBQI/OBQM as requested by Agency....

Michigan Medicine-Ann Arbor, MIEst. salary: $64,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilization Review and Utilization Management. RN Case Manager- COMPETENT. A.Conduct clinical review on admission; Review every 3 days or as requested by payer....

University of Michigan-Ann Arbor, MIEst. salary: $61,000 - $85,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilization Review and Utilization Management. This is a float position with Utilization Review and Discharge Planning responsibilities....

Matthew Staffing Solutions-Canton, MISalary: $75,000 - $85,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Review of organizational services. Current Michigan State RN license. Performance review and clinical staff development....


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