Showing 1-20 of 92
Showing 1-20 of 92

Utilization Review Rn jobs near Novi, MI

Molina Healthcare-Troy, MIEst. $55,000 - $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.

Utilization Management Certification (CPHM). May also perform prior authorization reviews and/or related duties as needed....

Molina Healthcare-Troy, MIEst. $72,000 - $97,000 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 staff quality audit reviews. Collates and reports on Care Access and Monitoring statistics including plan utilization, staff productivity, cost...

Catapult Consultants, LLC-Bingham Farms, MIEst. $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...

Catapult Consultants-Bingham Farms, MIEst. $40,000 - $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...

Trilogy Health Services-Charter Township of Commerce, MI

Adheres to Trilogy Scheduling Standards, SmartLinx utilization and best practices. Rounds on each shift to provide review of consistent staffing levels....

Henry Ford Health System-West Bloomfield Township, MIEst. $43,000 - $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.

Provides clinical utilization management expertise. Reviews all denials for medical necessity and appeal ability utilizing clinical judgment and applying...

Saint Joseph Mercy Health System-Livonia, MIEst. $81,000 - $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.

Michigan RN license Required. An Opportunity to Join our Remarkable Care Team as a Case Manager in the Case Management Department awaits YOU!!!!...

Ciena Healthcare Management-Southfield, MIEst. $56,000 - $79,000 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.

Experience as an MDS Nurse, RN. Somr responsibilities of the MDS Nurse RN include:. Assesses resident through physical assessment, interview and chart review....

Oakwood Hospital Dearborn-Dearborn, MIEst. $58,000 - $86,000 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.

3-5 years clinical nursing experience or 5-7 years clinical LPN experience in Case Management, Quality Management, Utilization Review, Home Care or Discharge...

Ascension (System Office)-Birmingham, MIEst. $52,000 - $71,000 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.

Must have experience in care or disease management, utilization review. RN Pre-Certification Specialist. Performs clinical utilization review to determine...

Henry Ford Village-Dearborn, MIEst. $41,000 - $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.

Demonstrated ability to write NCP-MDS, perform utilization review, experience in Quality Improvement methodology....

Molina Healthcare-Troy, MIEst. $53,000 - $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.

Utilization Management Certification (CPHM). May also perform prior authorization reviews and/or related duties as needed....

NCI Information Systems, Inc.-Detroit, MIEst. $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.

As the Medical Review RN ( Medical Reviewer III ), you will be primarily responsible for conducting clinical reviews of medical records during the course of...

Trusted Health Plan-Detroit, MIEst. $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....

Children's Hospital of MI-Detroit, MI

Assist with Staff Educational requirements and Utilization Review activities, as needed. Assist with department Process Improvement and Peer Review....

Maple Manor Rehabilitation Center of Novi-Novi, MIEst. $54,000 - $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.

Assesses resident through physical assessment, interview and chart review. Reviews information from hospital, consults and outside agencies and uses such...

Fresenius Medical Care-Livonia, MIEst. $71,000 - $95,000 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.

Reviews and approves facility payroll. Reviews profit and loss statements with Area Manager. Accountable for completion of the Annual Standing Order Review and...

University of Michigan-Ann Arbor, MIEst. $56,000 - $81,000 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....

Henry Ford Health System-Detroit, MIEst. $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.

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

Aetna-Detroit, MIEst. $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....


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