Registered Nurse-Review Analys
4 weeks ago
- Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members.
- May establish care plans and coordinate care through the health care continuum including member outreach assessments.
- Above average computer skills (Microsoft office).
- Clinical experience in ICU, ER, or medical surgical unit preferred.
- Prefer utilization management experience.
- Resource will be able to perform this role offsite. May be required to come into the office for meetings and training.
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Registered Nurse-Review Analys
1 month ago
Detroit, United States LanceSoft Inc Full timeJob Description:Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members.May establish care plans and coordinate care through the...
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Registered Nurse-Review Analys
2 weeks ago
Detroit, MI, United States LanceSoft Inc Full timeJob Description:Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members.May establish care plans and coordinate care through the...
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Registered Nurse-Review Analysis
2 weeks ago
Detroit, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS HAS AN OPENING! Strategic Staffing Solutions (S3) is currently looking for a Registered Nurse-Review Analysis for a contract opening with one of our largest clients located in Detroit, MI. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Title:...
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Registered Nurse-Review Analysis
1 month ago
Detroit, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS HAS AN OPENING! Strategic Staffing Solutions (S3) is currently looking for a Registered Nurse-Review Analysis for a contract opening with one of our largest clients located in Detroit, MI. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Title:...
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Registered Nurse-Review Analysis
1 week ago
Detroit, MI, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS HAS AN OPENING! Strategic Staffing Solutions (S3) is currently looking for a Registered Nurse-Review Analysis for a contract opening with one of our largest clients located in Detroit, MI. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Title:...
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Registered Nurse-Review Analysis
1 month ago
Detroit, MI, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS HAS AN OPENING! Strategic Staffing Solutions (S3) is currently looking for a Registered Nurse-Review Analysis for a contract opening with one of our largest clients located in Detroit, MI. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position. Title:...
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Registered Nurse
13 hours ago
Detroit, United States Jackson Nurse Professionals Full timeWe're seeking a Registered Nurse with experience responding to life-saving medical situations by providing emergency care and life support to the critically ill or severely injured for a 13 week contract at a reputable area hospital. Experience an incredibly supportive and ambitious team at Jackson Nurse Professionals where Traveling Nurses have been...
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Registered Nurse
2 weeks ago
Detroit, United States The Guidance Center Full timeAs a recognized leader in our field, The Guidance Center provides a broad range of services that have helped children, adults and families unlock potential and build better lives since 1958. With 25 programs we offer treatment, prevention, growth and education services to more than 15,000 people annually. Together we: Nurture development. Foster resilience....
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Registered Nurse
3 days ago
Detroit, MI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Detroit, Michigan. Specialty: ED - Emergency Department Shift: nights Employment Type: Travel Hospital A challenging but rewarding position is open for a Registered Nurse with experience caring for patients undergoing life-threatening...
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Registered Nurse – Performance Improvement
2 days ago
Detroit, United States Detroit Wayne Integrated Health Network Full timeRegistered Nurse -- Performance Improvement Under the general supervision of the Director of Quality Improvement, the Registered Nurse -- Performance Improvement is responsible for ensuring compliance of assigned providers to federal, state, local, contractual, regulatory, and best practices standards and guidelines. PRINCIPAL DUTIES AND...
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Registered Nurse – Performance Improvement
23 hours ago
Detroit, Michigan, United States Detroit Wayne Integrated Health Network Full timeRegistered Nurse -- Performance ImprovementUnder the general supervision of the Director of Quality Improvement, the Registered Nurse -- Performance Improvement is responsible for ensuring compliance of assigned providers to federal, state, local, contractual, regulatory, and best practices standards and guidelines. PRINCIPAL DUTIES AND...
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Registered Nurse
4 days ago
Detroit, Michigan, United States Veterans Health Administration Full timeThe Registered Nurse (Clinical Nurse Educator) utilizes innovative teaching strategies, assessment skills, and evaluation of outcomes. Assumes responsibility for the coordination of education focused on staff education, self-management, and customer satisfaction throughout the healthcare continuum. Follows procedures per established policies and guidelines....
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Registered Nurse
2 weeks ago
Detroit, Michigan, United States McLaren Health Care Full timeDepartment:Daily Work Times:Scheduled Bi-Weekly Hours:Position Summary:The Registered Nurse delivers quality nursing care through the utilization of the nursing process. Works collaboratively with other members of the healthcare team to maintain standards for professional nursing practice. Carries out functions according to hospital policy, the hospital...
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Registered Nurse
2 weeks ago
Detroit, Michigan, United States McLaren Health Care Full timeDepartment: Bone Marrow TransplantDaily Work Times: VariesScheduled Bi-Weekly Hours:Per DiemPosition Summary:The Registered Nurse delivers quality nursing care through the utilization of the nursing process. Works collaboratively with other members of the healthcare team to maintain standards for professional nursing practice. Carries out functions according...
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Registered Nurse
3 weeks ago
Detroit, Michigan, United States Sheffield Manor Nursing and Rehab Full timeAre you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Royalton Manor, you have the opportunity to use your nursing skills and become a leader.At Ciena Healthcare, we take care of you too, with an attractive benefit package including:Competitive payLife...
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Registered Nurse
3 days ago
Detroit, United States Detroit Wayne Mental Health Authority Full timeJob DescriptionJob DescriptionUnder the general supervision of the Director of Quality Improvement, the Registered Nurse – Performance Improvement is responsible for ensuring compliance of assigned providers to federal, state, local, contractual, regulatory, and best practices standards and guidelines. PRINCIPAL DUTIES AND RESPONSIBILITIES:Conducts...
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Registered Nurse
4 days ago
Detroit, United States Detroit Wayne Integrated Health Network Full timeUnder the general supervision of the Director of Quality Improvement, the Registered Nurse - Performance Improvement is responsible for ensuring compliance of assigned providers to federal, state, local, contractual, regulatory, and best practices standards and guidelines. PRINCIPAL DUTIES AND RESPONSIBILITIES: Conducts Inpatient Hospital Site Reviews....
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Registered Nurse
4 days ago
Detroit, United States Detroit Wayne Mental Health Authority Full timeUnder the general supervision of the Director of Quality Improvement, the Registered Nurse – Performance Improvement is responsible for ensuring compliance of assigned providers to federal, state, local, contractual, regulatory, and best practices standards and guidelines. PRINCIPAL DUTIES AND RESPONSIBILITIES: Conducts Inpatient Hospital Site Reviews....
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Registered Nurse
4 days ago
Detroit, Michigan, United States Ciena Healthcare Full timeFree Health Insurance for FT RN + FamilyNew pay scale up to $38.35/hrAre you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at Hartford Nursing and Rehab Center, you have the opportunity to use your nursing skills and become a leader.At Ciena Healthcare, we...
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Registered Nurse
5 days ago
Detroit, United States Veterans Affairs, Veterans Health Administration Full timeDetails Salary: Open Categories: General Nursing Internal Number: John D Dingell VA Medical Center is seeking innovative Registered Nurses to become part of our Healthcare Team. ***THIS IS AN OPEN CONTINUOUS ANNOUNCEMENT*** Resumes/Questionnaires received in USA Staffing in response to this announcement will be maintained in the USA Staffing job...