
RN Case Manager - Utilization Review
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.
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.
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
Communication
Leadership
Problem Solving
Time management
Interpersonal Skills
creativity
Organization
flexibility
Critical thinking
Teamwork
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.
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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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