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
...possible death benefits, withdrawal benefits and explanation of Plan rules.*Schedule meetings and phone call follow ups between Pension Administrators and participants.*Meet with Pension team regularly to follow up on participant communication.*Research and draft...
...Front Desk Receptionist/Admin Location : Heartwell Cardiology, Winter Park, FL Position Summary : Heartwell Cardiology is seeking a well-spoken, personable, energetic, and professional individual to join our team as a Front Desk Receptionist . This position...
...Responsibilities:**Under the direction of a supervisor, the Clinical Care Reviewer Utilization Management (UM) will be scheduled to work non-traditional... ...**Education & Experience:** Associate's Degree in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred...
Job Description: We are seeking a professional and friendly Front Desk Assistant to serve as the first point of contact for visitors and callers. This role involves greeting guests, managing incoming communications, and providing general administrative support to ensure...
The System Engineer is responsible for designing, developing, testing, and integrating radio frequency (RF) systems and components, ensuring they meet performance and compliance standards. Essential Functions and Responsibilities Determines system specifications:...