Utilization review Nurse Job at LanceSoft, Michigan Center, MI

RmU3b2FNUXpORXg2MG52dkVQbThHbTV4QXc9PQ==
  • LanceSoft
  • Michigan Center, MI

Job Description

Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License Should Have utilization management experience . Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously. The candidate should be well versed in coordination of care activities along with discharge planning which is a plus for this role in ensuring members are transitioned safely following care. In addition, the candidate should have knowledge of post-acute InterQual criteria that is utilized in this role. Requirements: Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes. One year health insurance plan experience or managed care environment preferred. Registered Nurse with current unrestricted Michigan Registered Nurse license required. Certification in Case Management may be preferred based upon designated department assignment. Above average computer skills Clinical experience in ICU, ER, or medical surgical unit preferred. LanceSoft

Job Tags

Similar Jobs

Europ Assistance Canada

Senior Quality Assurance Analyst Job at Europ Assistance Canada

 ...an experienced Senior QA Analyst with a strong background in quality assurance & production support and a passion for delivering high-quality...  ...and the working environment is a mix of in-office and remote, though always in close collaboration with colleagues and stakeholders... 

Truenorth Executive Search, Inc.

Chief Financial Officer - Software Technology - Private Equity, 78910 (Hiring Immediately) Job at Truenorth Executive Search, Inc.

 ...Chief Financial Officer Software Technology - Private Equity, 78910 Our client is a private equity-sponsored software technology firm...  ..., and managing all operations and financial aspects, including banking and investor relationships. The CFO will play a critical role... 

Pape-Dawson Engineers

Project Manager - Water Resources - Hydrology/Hydraulics Job at Pape-Dawson Engineers

 ...to give back which is one of our core values. Responsibilities: What can you expect on a daily basis? Perform watershed hydrologic analyses for planning, outfall master planning, flood control conveyance and detention facility design Perform hydrologic and... 

EDS Service Solutions

Car Washer / Auto Detailer Job at EDS Service Solutions

 ...but not required. Benefits Competitive pay with weekly paychecks. Opportunities for career growth within the company...  ...discounts on car rentals. Schedule Full-time and part-time positions available. Morning and evening shifts,... 

Dixon Family YMCA

Sports Coordinator Job at Dixon Family YMCA

 ...POSITION SUMMARY: The Sports Coordinator is responsible for organizing and implementing high-quality YMCA youth sports programs, including soccer, basketball, flag football, volleyball, and other activities. This role requires strong leadership, problem-solving, and...