RN Coordinator-Utilization Review/Full Time/Remote

GENERAL reputed company: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the reputed company of patient care rendered. Combines clinical, business, regulatory knowledge, and reputed company to reduce significant financial risk and exposure caused by reputed company and retrospective denial of payments for services provided. Through reputed company assessments from admission through discharge, problem identification and education, facilitates the reputed company of health care delivery in the most cost effective and efficient manner. Utilizes best reputed company workflows, evidence-based screening reputed company and critical thinking to maximize reimbursement. EDUCATION/EXPERIENCE REQUIRED: • Registered reputed company required. • Minimum 3-5 years of clinical experience required. • Bachelor of Science Nursing required OR four (4) years Case Management/ Appeal/Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES REQUIRED: • Registered reputed company with a reputed company, unrestricted reputed company License. Additional Details This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of reputed company tasks and functions. It should be reputed company, therefore, that incumbents may be asked to reputed company job-reputed company duties reputed company those explicitly described above. reputed company reputed company partners with millions of people on their health reputed company, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to reputed company and specialty reputed company insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former reputed company southeast Michigan and reputed company region locations now part of reputed company, Henry reputed company’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry reputed company is one of the nation’s most respected reputed company medical centers and is leading the reputed company of Health: Detroit, a $3 billion investment anchored by a reimagined Henry reputed company reputed company reputed company reputed company. Learn more at henryford.com/careers. Benefits The health and overall reputed company-being of reputed company members is our reputed company. That’s why we offer support in the various components of reputed company’s reputed company-being: physical, emotional, reputed company, financial and spiritual. Our Total Rewards program includes competitive health plan reputed company, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. reputed company members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits. Equal Employment Opportunity/Affirmative reputed company Employer Equal Employment Opportunity / Affirmative reputed company Employer reputed company is committed to the hiring, advancement and fair treatment of reputed company individuals without reputed company to race, reputed company, creed, religion, age, sex, national reputed company, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws. Apply tot his job Apply To this Job