Henry Ford Health System

RN Case Manager - Utilization Review

Henry Ford Health System

Jackson, MI, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Henry Ford Health System is looking for an experienced RN Utilization Review Case Manager to join our team! We are a leading healthcare provider in Michigan and are proud to offer excellent patient care and services. Our ideal candidate will have a track record of providing impeccable patient care, and must be able to demonstrate a passion for working with patients in the utilization review process.The RN Utilization Review Case Manager will work with other healthcare professionals to ensure quality care for our patients. The position requires a high level of critical thinking to interpret medical information and make sure that services are being utilized correctly and cost-effectively. The ideal candidate will have excellent interpersonal skills, be able to work in a fast-paced environment, and possess a desire to learn and grow.Required Qualifications:• Bachelor’s Degree in Nursing• Registered Nurse (RN) license• Experience in a hospital setting• Demonstrated ability to work with a team• Knowledge of insurance and utilization review processes• Ability to multitask and prioritize effectively• Proven record of excellent customer serviceIf you are passionate about providing quality care to patients and helping to ensure utilization review processes are followed, we invite you to apply to become a part of our team.

Where is this job?
This job is located at Jackson, MI, USA
Job Qualifications
  • Bachelor's Degree In Nursing

  • Current Michigan Rn License

  • Excellent Organizational Skills And Attention To Detail

  • Years Of Clinical Experience In A Hospital Setting

  • Knowledge Of Utilization Review Principles And Practices

  • Ability To Work Independently And As A Member Of A Team

  • Analytical And Problem-Solving Skills

  • Knowledge Of Medicare And Medicaid Regulations.

Required Skills
  • Documentation

  • Quality Improvement

  • Communication

  • Case management

  • Resource management

  • Health education

  • Regulatory compliance

  • Interdisciplinary Collaboration

  • Care planning

  • Disease Management

  • Patient Advocacy

  • Clinical Assessment

  • Utilization Review

  • Referral Coordination

  • Self-Management Education

Soft Skills
  • Communication

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • creativity

  • Organization

  • flexibility

  • Critical thinking

  • Teamwork

Compensation

According to JobzMall, the average salary range for a RN Case Manager - Utilization Review in Jackson, MI, USA is $70,000 to $91,000 per year. This range is based on the individual's experience, qualifications, and location.

Additional Information
Henry Ford Health System is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMay 19th, 2023
Apply BeforeMay 22nd, 2025
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About Henry Ford Health System

The Henry Ford Health System is a comprehensive, integrated, non-profit health care organization in Metro Detroit. The corporate office is at One Ford Place, Detroit, Michigan. Henry Ford established the health system in 1915, and it is currently run by a 15-member board of trustees.

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