Registered Nurse-Review Analyst
Job Title: RN Review Analyst: Location: SE Michigan Job Description: SUMMARY 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 […]
Case Manager-RN
Job Title: Case Manager-RN Location: Remote (Detroit, MI) JOB DESCRIPTION: ⁃ The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs ⁃ They serve as the single point of contact for members, […]
Case Manager-RN
Job Title: Case Manager-RN Location: Remote (Detroit, MI) RESPONSIBILITIES: The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members, caregivers, and providers […]