Top 13 Utilization management nurse Jobs in Flint, Mi

Clinical Documentation Improvement Specialist Registered Nurse
McLaren Health Care —Grand Blanc, MI
- No weekends
- Surgery
- RN License
- 5 years
Intake LPN
Absolute Home Health Care, Inc —Grand Blanc, MI
- From $55,000 a year
- Nursing
- Customer service
- Ability to walk for extended periods
Manager Patient Care Services - Behavioral Health
McLaren Health Care —Flint, MI
- Full-time
- Nursing
- Surgery
- RN License
1d
Manager Patient Care Services - PCU
McLaren Health Care —Flint, MI
- Full-time
- Nursing
- Surgery
- RN License
Manager Patient Care Services - Surgical Services
McLaren Health Care —Lapeer, MI
- Weekends as needed
- Nursing
- Surgery
- RN License
11d
Registered Nurse Care Manager PRN
McLaren Health Care —Lapeer, MI
- Per diem
- Nursing
- Surgery
- RN License
11d

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Intake LPN
Absolute Home Health Care, Inc —Grand Blanc, MI
Current Licensed Practical Nurse (LPN) license in the State of Michigan. Review and clinically scrub all incoming referrals for completeness, appropriateness,…
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LPN (Licensed Practical Nurse)
Victory Clinical Services Lansing —Lansing, MI
Maintain doctor's orders and nurse's progress notes for each client on a monthly basis and chart doctor's visits. Do vitals and medical intake on new clients.
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Clinical Documentation Improvement Specialist Registered Nurse

McLaren Health Care -
Grand Blanc, MI

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Job Details

Per diem

Qualifications

Inpatient experience
RN License
Acute care facility experience

Full Job Description

The Clinical Documentation Improvement (CDI) Specialist is responsible for facilitating improvement of the overall quality and completeness of medical record documentation. CDI Specialist role is to facilitate quality outcomes and revenue integrity through capture of accurate, complete, and compliant documentation through coordination, collaboration, and communication with related disciplines to address and integrate opportunities for documentation improvement and provider education.

Essential Functions and Responsibilities:

Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes.
Performs daily chart reviews seeking opportunity to clarify (query) documentation with the health record to capture accurate, complete and compliant documentation. Assigns Working DRGs & ICD10 CM/PCS codes.
Facilitates necessary documentation in the medical record through extensive interaction with physicians, nursing staff, other patient caregivers, and collaboration with HIM/Coding staff to ensure the most appropriate reimbursement is achieved for the level of service rendered to all patients.
Educates all members of the patient care team regarding clinical documentation needs, changes to clinical documentation guidelines, coding and reimbursement issues, and pay for performance documentation requirements on an on-going basis.

Required:

Current Registered Nurse License in the State of practice
Minimum 5 years of acute hospital care experience
Certified Clinical Documentation Specialist (CCDS), or obtain certification when eligible as defined by the Association of Clinical Documentation Improvement Specialists – ACDIS, and maintenance of continuing education requirements
Member (or obtain within 1 year of service) with the Association of Clinical Documentation Improvement Specialists (ACDIS)

Preferred:

CDIP certification
Experience with CDI Software Tools (i.e. 3M 360, JATA, ChartWise, other)
Knowledge of coding/documentation and billing regulations related to commercial insurance, Medicaid and Medicare. (i.e., APR-DRG, MS-DRG, Medicare, Medicaid & Managed Care)
Experience in Utilization Management/Case Management, Critical Care, and patient outcomes/quality management preferred. Inpatient coding experience desired.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

Schedule: Per Diem
Requisition ID: 26003620
Daily Work Times: 8:00am-5:00pm
Hours Per Pay Period: 0
On Call: No
Weekends: No

About Us

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.

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utilization management nurse jobs in flint, mi

Clinical Documentation Improvement Specialist Registered Nurse

Intake LPN

Manager Patient Care Services - Behavioral Health

Manager Patient Care Services - PCU

Manager Patient Care Services - Surgical Services

Registered Nurse Care Manager PRN

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