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
Advocate Aurora Health is seeking a Registered Nurse (RN) Home Health Case Management for a nursing job in Berwyn, Illinois. Job Description & Requirements ~ Specialty: Case Management ~ Discipline: RN ~ Duration: Ongoing ~40 hours per week ~ Shift: days...
Job Description Job Description GENERAL DESCRIPTION The Authorization Specialist is responsible for calling insurance companies to obtain prior authorization and precertification for services, procedures and medications. ESSENTIAL JOB FUNCTIONS Responsible...
...) Job Type : Permanent Recruiter Email : 25-bed, independent critical access hospital located in Central Maine is seeking an Orthopedic Surgeon to join its team. The hospital provides care to over 30,000 residents in central Maine. A beautiful state of the art medical...
...Behavioral Health and Integrated Care Overview: Virtual BCBA Position! At SpringHealth our therapy team executes customized... ...positive quality of life we encourage you to apply today! WORK FROM HOME with a flexible schedule! Minimum Qualifications Education...
...Use Disorders (SUD) and behavioral health challenges. We are seeking a compassionate and experienced Licensed Professional Counselor (LPC) to join our team. In this role, you will work closely with individuals in recovery, utilizing evidence-based techniques to enhance...