Top 28 Utilization management Jobs in Harbor Springs, Mi

Registered Nurse Care Manager
McLaren Northern Michigan —Petoskey, MI
- From $35.84 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Loan repayment program
- Relocation assistance
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1d
Manager, Clinical Operations
Hospice of Michigan —Harbor Springs, MI
- Full-time
- Hybrid work
- Nursing
- RN License
- Writing skills
- Health savings account
- Health insurance
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Center Supervisor
North Country Community Mental Health —Petoskey, MI
- $76,667 - $80,504 a year
- Full-time
- Master of Social Work
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
Care Manager RN
Alcona Health Center —Harbor Springs, MI
- Email
- CPR Certification
- Nursing
- Microsoft Outlook
- AD&D insurance
- Disability insurance
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Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
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Complex Care Manager RN-Western MA (Hybrid)
WellSense Health Plan —United States
- $74,000 - $107,000 a year
- Full-time
- Hybrid work
- Background check
- School experience
- Nursing
- Health insurance
- Dental insurance
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance

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Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
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utilization management jobs near harbor springs, mi

Registered Nurse Care Manager

McLaren Northern Michigan -
Petoskey, MI

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Job Details

Full-time
From $35.84 an hour
1 day ago

Benefits

Loan repayment program
Relocation assistance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Nursing
RN License
BLS Certification
Acute care facility experience
Bachelor's degree
Utilization management

Full Job Description

Department: Case Management

Daily Work Times: 8a-5p

Scheduled Bi-Weekly Hours: 80

Relocation reimbursement up to $5000!

Student Loan Repayment program of up to $12,000!

Outstanding benefits: Medical, Dental, Vision and More!

Accountable for proactive coordination and timely transition of assigned patients to the most appropriate level of care along the continuum. Impacts key results such as achieving top decile performance in length of stay, cost efficient resource utilization, preventing readmissions and unnecessary emergency room visits. Works collaboratively with physicians, nursing, members of the multidisciplinary team (such as Home Care and PCP offices), as well as other resources internal and external to the organization.

Essential Functions and Responsibilities as Assigned:

1. Performs care coordination assessments for initial assessment of patients with 24 hrs. of admission. assessments for readmission and transition planning.

2. Works collaboratively with the social worker and other disciplines to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient’s available resources.

3. Assesses patient/family needs to reduce barriers and formulate discharge plans (e.g., LOS barriers to D/C).

4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers.

5. Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies which family member is the point of contact.

6. Assesses risk of readmission for specified patient populations and initiates assigned interventions that will enhance the patient’s ability to successfully transition along the care continuum.

7. Performs discharge planning coordination/referral by making appropriate referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement, and other outside agencies per Standard Operating Procedure (SOP).

Required

State licensure as a Registered Nurse (RN)
Bachelor’s degree in nursing from accredited educational institution, or actively pursuing degree and to be obtained within five years of accepting position. Three years of acute hospital care experience
American Case Management Certification (ACM) or obtain certification when eligible as defined by the Association Case Management Association, and maintenance of continuing education requirements

Preferred:

Experience in utilization management/case management, critical care, or patient outcomes/quality management
Certification in Case Management Certification (ACM or CCM)
Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)

Job Type: Full-time

Pay: From $35.84 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Ability to Relocate:

Petoskey, MI 49770: Relocate before starting work (Required)

Work Location: In person

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Refine Your Search

utilization management jobs in harbor springs, mi

Registered Nurse Care Manager

Manager, Clinical Operations

Center Supervisor

Care Manager RN

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

Complex Care Manager RN-Western MA (Hybrid)

Family Medicine Medical Director Utilization Management

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