Blue Cross Blue Shield of Michigan-Southfield, MIEstimated: $55,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc....

Attuned Care Home Health-Detroit, MIEstimated: $67,000 - $93,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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. Participates in utilization review of medical records as assigned. Participates in peer review and performance improvement as assigned....

Colombiere Center-Clarkston, MIEstimated: $47,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

LPN or RN. Knowledge of operation and utilization of health care equipment and supplies. Reviews appraisal with the Director of Nursing before meeting with the...

Olympia Group LLC-Dearborn Heights, MIEstimated: $53,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Significant change and quarterly review. Ensuring timely scheduling and completion of the initial care plan, annual review, readmission;...

Blue Cross Blue Shield of Michigan-Southfield, MIEstimated: $55,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc....

Beaumont Hospital Dearborn-Dearborn, MIEstimated: $54,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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...

Molina Healthcare-Troy, MIEstimated: $58,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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....

Saint Joseph Mercy Health System-Pontiac, MIEstimated: $58,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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 regulations relative to utilization review. Provides all external review organizations the information necessary to complete reviews and effect...

Henry Ford Health System-Detroit, MIEstimated: $76,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Responsible for investigating Provider Appeal requests and Code Review inquiries for all Utilization Management divisions, including delegated entities....

HAVENWYCK HOSP-Auburn Hills, MIEstimated: $48,000 - $70,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Familiarity with managed health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred....

St. John Providence, MI-Southfield, MIEstimated: $50,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

2 years of experience in Utilization review or Case Management preferred. Analyst-Utilization Review / Providence Hospital - BU 34014 / PRN Days....

Beaumont Hospital Dearborn-Dearborn, MIEstimated: $50,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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...

Saint Joseph Mercy Health System-Pontiac, MIEstimated: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Facilitate and manage inter-departmental projects related to supply/equipment utilization and standardization. Researches and develops standardization, contract...

Blue Cross Blue Shield of Michigan-Southfield, MIEstimated: $53,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Associate's Degree in Nursing or RN Diploma required. Review operational data on assessment triggers and goals selected in care plans as well as goal completion...

Blue Cross Blue Shield of Michigan-Detroit, MIEstimated: $60,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Associate's Degree in Nursing or RN Diploma required. Review operational data on assessment triggers and goals selected in care plans as well as goal completion...

CareNational-Ann Arbor, MI $65,000 - $70,000 a year

RN. License.Certification in Case Management (CCM) is preferred.Roughly 1-3 years acute care clinical nursing experience.Around 2-3 years’ experience in a...

Concerto HealthCare-Detroit, MIEstimated: $45,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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 NCQA, CMS, HSAG, and health plan requirements related to utilization management. Utilizes designated criteria along with clinical knowledge to make...

Regency Heights Nursing and Rehab Center-Detroit, MIEstimated: $64,000 - $86,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

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

Trinity Health-Livonia, MIEstimated: $65,000 - $87,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

RHIA, RHIT, CPC, RN or CPA credentials preferred. Reviews National Coverage Determinations and Local Coverage Determinations with applicable departments....

UnitedHealth Group-Detroit, MI

Administer benefits and review treatment plans. (sm)As a Behavioral/Mental Health Care Advocate you will be responsible for case management and utilization...

St. John Providence, MI-Warren, MIEstimated: $50,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

2 years of experience in Utilization review or Case Management preferred. Analyst-Utilization Review / St John Macomb Hospital -34023 / PRN Days....

Henry Ford Health System-Detroit, MIEstimated: $64,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

The Transfer RN will use approved clinical screening criteria reviews and screens all proposed and actual admissions for appropriateness of services and setting...

Beaumont Hospital Dearborn-Dearborn, MIEstimated: $48,000 - $65,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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...

MedNetOne Health Solutions-Troy, MIEstimated: $56,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Decrease of emergency room utilization and hospital readmissions. Monitors patient utilization via various electronic tools and payer reports....

Optech LLC-Detroit, MIEstimated: $59,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Case Manager RN*. Case Manager RN QUALIFICATIONS:. Assessing resource utilization and cost management; The case manager will document patient profile updates,...

Olympia Group LLC-Hamtramck, MIEstimated: $54,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Significant changes and quarterly reviews. Oversees the nursing staff in assessment of MDS using the Utilization Guidelines;...


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