Top 14 Utilization review nurse Jobs in Lansing, Mi

CASE MANAGER RN (per diem)
University of Michigan Health Sparrow —Lansing, MI
- Day shift
- Acute care
- Nursing
- RN License
Program Manager Trauma RN - Trauma Services
McLaren Greater Lansing —Lansing, MI
- $35.84 - $53.75 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
2d
Nurse Practitioner/Physician Assistant
VitalCore Health Strategies —Lansing, MI
- $80 - $90 an hour
- Part-time
- Vital signs
- HIPAA
- Inpatient
- Health savings account
- Health insurance
Quick Apply
SHS-RN CARE FACILITATOR - CLINICAL PROG
University of Michigan Health Sparrow —Lansing, MI
- Full-time
- Nursing
- RN License
- Hospital
Program Manager Trauma (LAN)
McLaren Health Care —Lansing, MI
- Full-time
- Nursing
- Surgery
- RN License
RN Field Case Manager
Hope At Home Health Care —Lansing, MI
- Up to $100,000 a year
- Weekends as needed
- Nursing
- Management
- RN License
Quick Apply
Full Time Redicare Nurse Practitioner
Eaton Rapids Medical Center —Eaton Rapids, MI
- Full-time
- Nursing
- PALS Certification
- BLS Certification
9d
Part Time Redicare Nurse Practitioner
Eaton Rapids Medical Center —Eaton Rapids, MI
- Part-time
- Nursing
- PALS Certification
- BLS Certification

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utilization review nurse jobs near lansing, mi

CASE MANAGER RN (per diem)

University of Michigan Health Sparrow -
Lansing, MI

Apply Now

Job Details

Per diem

Qualifications

RN License
Customer service
Acute care facility experience
Bachelor's degree
Typing

Full Job Description

Job ID: 54407

Positions Location: Lansing, MI Job Description General Purpose of Job:

Description:

Positions Location: Lansing, MI

Job Description

General Purpose of Job:

Effectively manages and coordinates the patient’s plan of care across the continuum. Works collaboratively with the interdisciplinary team enhancing the quality of patient clinical outcomes and patient satisfaction with efficient and effective utilization of resources.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

Psychosocial Assessment and Interventions:
- Conducts a preliminary risk screening, assesses patients and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
- Performs comprehensive assessments of patients’ medical condition, adjustment, support systems, finances, housing, behavior, cognition, abuse factors, function and abilities, legal, and substance abuse factors to identify issues, which must be addressed prior to discharge.
- Provides intervention in cases involving child abuse/neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
- Serves as a resource person and provides counselling and intervention related to treatment decisions and end-of-life issues.
- Develops long and short-term plans with the patient/family to address problems identified.
- Provides emotional support to help patients cope with the disruptions and distresses associated with their illness/injury. Observes patient’s right to self-determination and confidentiality.
- Intervenes with problems of: Adult Abuse, Suicide, Guardianship, Conservatorship, Durable Power of Attorney, and Mental Illness.
Care Coordination: Coordinates and facilitates patient care progression throughout the continuum.
- A collaborative process that encompasses the following: assessment, plans, implements, coordinates, monitors and evaluates the options and services required to meet the needs of the patient.
- Works collaboratively and maintains active communication with other members of the interdisciplinary team to effect timely and appropriate patient management.
- Proactively identifies and resolves delays and obstacles to discharge.
- Collaborates with the interdisciplinary care team facilitating care for the designated case load; monitors the patient’s progress with the appropriate interventions ensuring a focused plan of care and services are provided while providing high quality cost effective care.
- Facilitates transfers to other facilities as appropriate.
- Provides the appropriate patient follow up in compliance with regulatory agencies and hospital policies and standards.
Utilization Management:
- Identifies at-risk populations using approved screening tool and follows established reporting procedures.
- Monitors and facilitates the length of stay and ancillary resource use. Takes the appropriate actions to achieve the continuous improvement in both length of stay and resource utilization.
- Self-directed and organized to meet the needs of the patient and the health care team.
Communication:
Provides clear, concise, and timely written documentation.
- Communicate and provide information to post-acute care providers and payers ensuring adequate resources are provided to the patient.
- Communicates effectively and navigating conflicts with patients, families, members of the care team in a diplomatic and empathetic manner.Negotiation with clinical departments and payers, advocating for the patient; transitioning them to the next phase of care.

Job Requirements

General Requirements

• Current Michigan Nursing License • BLS preferred • Certification in Case Management preferred

Work Experience

• Minimum three years of nursing experience in an acute care setting. • Experience in acute care case management, discharge planning, utilization management, performance improvement and managed care reimbursement preferred

Education

Graduate of an accredited Nursing program

Specialized Knowledge and Skills

• Maintains an environment that supports and encourages high performance and reliability through caregiver engagement, teamwork, and customer service ensuring safe quality patient-centered care. • Possess excellent verbal and written communication skills. • Promotes individual professional growth and development by meeting the requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization. • Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients and their families. • Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job.

University of Michigan Health - Sparrow is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

Job Family

Registered Nurses/Nursing Leadership

Requirements:

Shift

Days

Degree Type / Education Level

Bachelor's

Status

Per Diem

Facility

Match Any

Experience Level

New Grad

Apply Now

Refine Your Search

utilization review nurse jobs in lansing, mi

CASE MANAGER RN (per diem)

Program Manager Trauma RN - Trauma Services

Nurse Practitioner/Physician Assistant

SHS-RN CARE FACILITATOR - CLINICAL PROG

Program Manager Trauma (LAN)

RN Field Case Manager

Full Time Redicare Nurse Practitioner

Part Time Redicare Nurse Practitioner