Showing 1-20 of 79
Showing 1-20 of 79
Utilization Review Rn jobs near Novi, MI

Summit Healthcare Regional Medical Center - United States - Est. salary: $55,000 - $77,000 a year

Supervises and coordinates utilization review staff to maximize reimbursement and minimize financial risk. Responsible for the coordination and supervision of...

Custom Home Health - Royal Oak, MI - Est. salary: $60,000 - $83,000 a year

Current Michigan RN or LPN. This QA Registered Nurse position is responsible for assisting in the development, implementation and evaluation of quality...

AmeriHealth Caritas - Southfield, MI - Est. salary: $56,000 - $73,000 a year

Current and unrestricted RN license, preferred. Participates in Quality Reviews and Inter Rater Reliability process as requested....

Healthcare Scouts - Detroit, MI - Est. salary: $29 - $41 an hour

Utilization Review experience REQUIRED! Daily responsibilities as a Utilization Management / Utilization Review Nurse / RN will include using Care Guidelines to...

Randstad Healthcare - Detroit, MI - Est. salary: $62,000 - $90,000 a year

Top national managed care organization looking for Utilization Review RN's in the Detroit, MI area! Must be a licensed RN in the state of MI....

FH Memorial Medical Center - Detroit, MI - Est. salary: $67,000 - $96,000 a year

Utilization Review, Resource Management:. Utilization review, resource management, care coordination, discharge planning Preferred....

Reliance ACO - Farmington Hills, MI - Est. salary: $65,000 - $93,000 a year

Medicare and utilization review knowledge and experience. This position will be responsible for supervising a small team of Care Coordinators who contact...

Strategic Staffing Solutions - Detroit, MI - Est. salary: $60,000 - $78,000 a year

RN Case Manager. 3 Years as an RN. Assessing resource utilization and cost management; The case manager will document patient profile updates, discuss cases...

Integrated Resources, Inc - Troy, MI - Est. salary: $66,000 - $90,000 a year

Care Review Clinician II. Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management...

The Maxis Group - Troy, MI - Est. salary: $72,000 - $100,000 a year

Care Review Clinician II*. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or...

Oakland Regional Hospital - Southfield, MI - Est. salary: $59,000 - $81,000 a year

RN, Utilization Management and Discharge Planner. 2+ years of Utilization Review experience strongly preferred....

Generations Home Care Group - Goodrich, MI - Est. salary: $53,000 - $66,000 a year

Participates in utilization review of medical records as assigned. Participates in peer review and performance improvement as assigned. Registered Nurse (RN)....

Kenaitze Indian Tribe - United States - Est. salary: $81,000 - $100,000 a year

Oversees and completes peer review activities. Responsible for clinical oversight of Nurse Practitioners, Physician Assistants, and RN Supervisor....

Generations Home Care Group - Dearborn, MI - Est. salary: $53,000 - $69,000 a year

Participates in utilization review of medical records as assigned. Participates in peer review and performance improvement as assigned. Registered Nurse (RN)....

Lovelace Health System - United States - Est. salary: $74,000 - $100,000 a year

RN. Directs and administers strategic, operational, fiscal and personnel activities of the Case Management, Care Transition and Utilization Review programs in...

Henry Ford Health System - Southfield, MI - Est. salary: $52,000 - $67,000 a year

Travel to designated facilities for on-site review for concurrent review. Conduct pre-certification reviews telephonically and concurrent review activities...

CareNational Healthcare Services - Detroit, MI - Est. salary: $67,000 - $96,000 a year

The utilization review RN must be based in Michigan but can work from home. Qualified nurses must have Milliman and Interqual experience and ideally hospital...

Medix - Detroit, MI - Est. salary: $67,000 - $89,000 a year

Utilization Review, Health Insurance, UR Nurse, RN, Registered Nurse, Disease Management, Utilization Management, Grievances, appeals, clinical, benefits,...

CorVel Corporation - Novi, MI - Est. salary: $65,000 - $82,000 a year

Strong cost containment background, such as utilization review or managed care also useful. Current RN licensure in state of operation....

UnitedHealth Group - Southfield, MI

Current and unrestricted Michigan RN License. 3+ years Care coordination and / or utilization management experience....


Your Recent Searches