Top 20 Utilization review nurse Jobs in Kalamazoo, Mi

Case Manager ( RN / RT / SW / LPN )
Select Specialty Hospital - Battle Creek —Battle Creek, MI
- Full-time
- RN License
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
Case Manager ( RN ) - Bronson Lakeview Hospital - PRN Variable
Bronson Healthcare —Paw Paw, MI
- Part-time
- Acute care
- Nursing
- RN License
Case Manager - Bronson Battle Creek
Bronson Healthcare —Battle Creek, MI
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply
APP QuickCare Plus On-Call - Battle Creek
Bronson Healthcare —Battle Creek, MI
- Part-time
- Hospital
- Word processing
- Writing skills
APP Bronson Family Medicine Stadium NP or PA-C - Kalamazoo, MI
Bronson Healthcare —Kalamazoo, MI
- Email
- Nursing
- Hospital
- Word processing
APP IP/OP Neurology
Bronson Healthcare —Kalamazoo, MI
- Full-time
- Acute care
- Word processing
- Writing skills
APP Neurosurgery
Bronson Healthcare —Kalamazoo, MI
- Full-time
- Acute care
- Surgery
- Word processing
APP LakeView Family Care (Suite A) NP or PA-C - Paw Paw, MI
Bronson Healthcare —Paw Paw, MI
- Weekends as needed
- Hospital
- Word processing
- Writing skills
APP Trauma Surgery
Bronson Healthcare —Kalamazoo, MI
- Full-time
- Surgery
- Word processing
- Inpatient
APP Medical Oncology / Hematology PA-C or NP - Kalamazoo, MI
Bronson Healthcare —Kalamazoo, MI
- Email
- Hospital
- Word processing
- Writing skills
- Relocation assistance
APP High Risk Breast Clinic/Oncology NP or PA-C
Bronson Healthcare —Kalamazoo, MI
- Email
- Hospital
- Word processing
- Writing skills
- Relocation assistance
7d
APP Urology - Inpatient
Bronson Healthcare —Kalamazoo, MI
- 12 hour shift
- Acute care
- Hospital
- Word processing
- Relocation assistance
Nurse Practitioner (1099)
Enlightened Recovery —Kalamazoo, MI
- On call
- CPR Certification
- Nursing
- Addiction Medicine
Psychiatric Nurse Practitioner (1099)
Enlightened Recovery —Kalamazoo, MI
- On call
- CPR Certification
- Nursing
- Psychiatry
APP Inpatient Infectious Disease NP or PA-C - Battle Creek, Michigan
Bronson Healthcare —Battle Creek, MI
- Email
- Acute care
- Hospital
- Word processing
APP Outpatient Internal Medicine PA-C or NP - Battle Creek, MI
Bronson Healthcare —Battle Creek, MI
- Email
- Word processing
- Writing skills
- Internal Medicine
APP Medical Oncology/Hematology - Coldwater, MI
Bronson Healthcare —Battle Creek, MI
- Email
- Word processing
- Writing skills
- Inpatient
- Relocation assistance
Licensed Practical Nurse (LPN), Rehab, Evenings
Beacon Health System —Three Rivers, MI
- Part-time
- Nursing
- Patient monitoring
- Hospital
- 403(b) matching
- Health insurance
APP Hospitalist NP or PA-C
Bronson Healthcare —Kalamazoo, MI
- Weekends as needed
- Word processing
- Writing skills
- Internal Medicine
- Relocation assistance

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Check out jobs in cities near your current location, Columbus

Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
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…
Quick Apply
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
7d

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Case Manager ( RN / RT / SW / LPN )

Select Specialty Hospital - Battle Creek -
Battle Creek, MI

Quick Apply

Job Details

Full-time

Benefits

Dental insurance
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Paid sick time

Qualifications

Inpatient experience
Critical & intensive care
Acute care facility experience

Full Job Description

Overview:

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

$15,000 Sign On Bonus

Case Manager

Full Time: Monday-Friday 8-5pm

Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guidelines).

And

Previous discharge planning experience preferred.

Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and our team plays a central role in providing compassionate, excellent care every step of the way.

Responsibilities:

We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines.

Develops and implements a patient specific, safe and timely discharge plan.
Performs verification of utilization criteria reviews.
Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
Demonstrates compliance with facility-wide Utilization Management policies and procedures.
Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Qualifications:

We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.

Minimum requirements:

Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist (RN preferred) OR current license / certified Social Work license per state guidelines
Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients. (example: ICU, step-down, med surg, vents)

Preferred qualifications that will make you successful:

Specific experience in Care Management and Discharge Planning is preferred.
Working knowledge of the insurance industry and government reimbursement.

Additional Data:

General Benefits Full-time

Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members
Invest in Your Future:Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
Your Impact Matters:Join a team of over 44,000 committed to providing exceptional patient care

Equal opportunity employer, including disabled veterans

Quick Apply

Refine Your Search

utilization review nurse jobs in kalamazoo, mi

Case Manager ( RN / RT / SW / LPN )

Case Manager ( RN ) - Bronson Lakeview Hospital - PRN Variable

Case Manager - Bronson Battle Creek

APP QuickCare Plus On-Call - Battle Creek

APP Bronson Family Medicine Stadium NP or PA-C - Kalamazoo, MI

APP IP/OP Neurology

APP Neurosurgery

APP LakeView Family Care (Suite A) NP or PA-C - Paw Paw, MI

APP Trauma Surgery

APP Medical Oncology / Hematology PA-C or NP - Kalamazoo, MI

APP High Risk Breast Clinic/Oncology NP or PA-C

APP Urology - Inpatient

Nurse Practitioner (1099)

Psychiatric Nurse Practitioner (1099)

APP Inpatient Infectious Disease NP or PA-C - Battle Creek, Michigan

APP Outpatient Internal Medicine PA-C or NP - Battle Creek, MI

APP Medical Oncology/Hematology - Coldwater, MI

Licensed Practical Nurse (LPN), Rehab, Evenings

APP Hospitalist NP or PA-C

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