Top 4 Utilization review nurse Jobs in Fremont, Mi

Home Health Care RN Case Manager
ACE Home Health Care —Howard City, MI
- $65 - $80 an hour
- Full-time
- Vital signs
- RN License
- HIPAA
- Continuing education credits
- Mileage reimbursement
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Medical Coding & Compliance Specialist
Medical Management Specialists —Grand Rapids, MI
Candidate must maintain a permanent residence in the state of Michigan to be employed with this organization. Reviews insurance payment and billing denial data…
$26 - $32 an hour
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Nurse (RN/LPN) - VA First Responder Program
Sanford Careers —Grand Rapids, MI
Keeps professional license current and in good standing with the state of Michigan. Ability to identify own strengths and areas of improvement and communicate…
$33.00 - $36.40 an hour
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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
11d
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
11d

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Home Health Care RN Case Manager

ACE Home Health Care -
Howard City, MI

Quick Apply

Job Details

Full-time
$65 - $80 an hour

Benefits

Continuing education credits
Mileage reimbursement
Health insurance
Dental insurance
Paid time off
Vision insurance
Paid sick time

Qualifications

Record keeping
RN License
Initial assessment (medical evaluation)
HIPAA
Client file management
Care documentation
Diagnostic evaluation
Attention to detail
Clinical assessment documentation
Wound care
Health information regulatory compliance
Health record tracking
Organizational skills
Health information management
Patient assessment visits
Clinical confidentiality policies
Managing patient records
Medical terminology

Full Job Description

Job Summary
We are seeking a dedicated and highly skilled Registered Nurses (RN's) to coordinate and deliver comprehensive patient care within a home health setting. As a vital member of our team, you will oversee patient assessments, develop individualized care plans, and facilitate seamless communication among healthcare providers, patients, and families.

Duties

Conduct thorough patient assessments, including vital signs, medical history review, and physiological evaluations to determine care needs.
Develop and implement personalized care plans that align with clinical guidelines and patient goals, incorporating discharge planning and post-acute care strategies.
Coordinate with multidisciplinary teams to facilitate diagnostic evaluations, medication management, and therapeutic interventions in the home environment.
Monitor patient progress through regular follow-ups, adjusting care plans as necessary to optimize recovery and manage chronic conditions.
Manage documentation of medical records while ensuring compliance with HIPAA regulations and maintaining accurate case management records.
Provide education on disease management, medication adherence, and health maintenance tailored to diverse populations such as geriatrics, pediatrics, or behavioral health patients.
Facilitate communication with primary care providers and specialists to ensure continuity of care across inpatient, outpatient, and clinic settings.
Engage in utilization management by evaluating the appropriateness of services and advocating for necessary resources within managed care frameworks.

Requirements

Valid RN license with current registration in the state of practice.
Experience working with diverse patient populations including geriatrics, pediatrics (PICU), behavioral health patients, and those requiring post-acute or outpatient care beneficial but not required.
Familiarity with medical terminology, medical records management, discharge planning procedures, and HIPAA compliance standards.
Excellent patient assessment skills
Strong organizational skills with attention to detail in documentation and medical recordkeeping.
Prior experience in Home Health Care is preferred but not required, will train qualified applicants.

Join our team as a Home Health Care RN Case Manager where your expertise will directly impact patient recovery journeys through compassionate, comprehensive home-based nursing care!

A.C.E. Home Health Care values our employees. Without a great TEAM it would not be possible to provide excellent care to our patients. We believe it is about life and work balance, not work then life balance. We are a locally owned company and not affiliated with a hospital or Franchise. We consider our employees a big "A.C.E. Family". We strive to provide the best care possible for our patients by going above and beyond.We are an independently owned agency. Our office is located just a short drive north of Grand Rapids in Howard City.

We are looking for RN Care Managers to see clients in Northern Kent (196 north to Cedar springs) and Montcalm County. Your patients would be centered around your home location. Position is paid by the type of patient visit (not hourly) plus mileage reimbursement. Per week visit range can be up to 25 patient visits per week for full time and as little as you would like for part time. We do lots of wound care and home I.V. Infusions. Home Health Care Case Managers coordinate patient care with physicians and other disciplines involved with the patients care. Variety in day-to-day care makes this position unique. Paid Meeting reimbursement and CEU's also offered.

Pay: $65.00 - $80.00 per hour

Benefits:

Dental insurance
Health insurance
Mileage reimbursement
Paid sick time
Paid time off
Vision insurance

Work Location: In person

Quick Apply

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utilization review nurse jobs in fremont, mi

Home Health Care RN Case Manager

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