RN Utilization Management
Detroit, MI · On-site
Detroit, Michigan Registered Nurse (RN) Contract We are seeing a Michigan RN Utilization Manager ... contractual services and organize delivery through appropriate channels. 5. Research and resolve ...
RN Utilization Management
Detroit, MI · On-site
Detroit, Michigan Registered Nurse (RN) Contract We are seeing a Michigan RN Utilization Manager ... contractual services and organize delivery through appropriate channels. 5. Research and resolve ...
RN Utilization Management
Detroit, MI · On-site
Detroit, Michigan Registered Nurse (RN) Contract We are seeing a Michigan RN Utilization Manager ... contractual services and organize delivery through appropriate channels. 5. Research and resolve ...
RN Utilization Management
Detroit, MI · On-site
Detroit, Michigan Registered Nurse (RN) Contract We are seeing a Michigan RN Utilization Manager ... contractual services and organize delivery through appropriate channels. 5. Research and resolve ...
Care Manager, LTSS (RN)
Detroit, MI · On-site
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Care Manager, LTSS (RN)
Detroit, MI · On-site
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Travel RN Psych
Holland, MI · On-site
$1.9K - $1.9K/wk
Enjoy seasonal highlights like the world-famous Tulip Time Festival * Safe, friendly community with a laid-back pace of life If you're a skilled Psych RN ready for your next travel assignment and ...
Quick apply
Travel RN Psych
Holland, MI · On-site
$1.9K - $1.9K/wk
Enjoy seasonal highlights like the world-famous Tulip Time Festival * Safe, friendly community with a laid-back pace of life If you're a skilled Psych RN ready for your next travel assignment and ...
Travel RN Psych
Holland, MI · On-site
$1.9K - $1.9K/wk
Enjoy seasonal highlights like the world-famous Tulip Time Festival * Safe, friendly community with a laid-back pace of life If you're a skilled Psych RN ready for your next travel assignment and ...
Quick apply
Travel RN Psych
Holland, MI · On-site
$1.9K - $1.9K/wk
Enjoy seasonal highlights like the world-famous Tulip Time Festival * Safe, friendly community with a laid-back pace of life If you're a skilled Psych RN ready for your next travel assignment and ...
Registered Nurse-Review Analyst Our client, a Health Insurance company, is looking for a Registered ... Analyze patterns of care associated with disease progression; identify contractual services and ...
Registered Nurse-Review Analyst Our client, a Health Insurance company, is looking for a Registered ... Analyze patterns of care associated with disease progression; identify contractual services and ...
We work for RNs - not the other way around. If you're a Registered Nurse who's tired of generic job ... seasonal festivals, a community-focused downtown with live music and performing arts, and year ...
New
We work for RNs - not the other way around. If you're a Registered Nurse who's tired of generic job ... seasonal festivals, a community-focused downtown with live music and performing arts, and year ...
New
Better-fit Roles We work for RNs -- not the other way around. If you're a Registered Nurse who ... seasonal festivals, a community-focused downtown with live music and performing arts, and year ...
Better-fit Roles We work for RNs -- not the other way around. If you're a Registered Nurse who ... seasonal festivals, a community-focused downtown with live music and performing arts, and year ...
We work for RNs - not the other way around. If you're a Registered Nurse who's tired of generic job ... seasonal festivals, a community-focused downtown with live music and performing arts, and year ...
We work for RNs - not the other way around. If you're a Registered Nurse who's tired of generic job ... seasonal festivals, a community-focused downtown with live music and performing arts, and year ...
Registered Nurse IR - Suttons Bay, MI
Suttons Bay, MI · On-site
$2.9K - $3.0K/wk
This contract opportunity is ideal for a Registered Nurse (RN) with experience in Interventional ... The actual amount may vary based on hours worked, eligibility for reimbursements, and seasonal ...
Registered Nurse IR - Suttons Bay, MI
Suttons Bay, MI · On-site
$2.9K - $3.0K/wk
This contract opportunity is ideal for a Registered Nurse (RN) with experience in Interventional ... The actual amount may vary based on hours worked, eligibility for reimbursements, and seasonal ...
Care Manager, LTSS (RN)
Detroit, MI · On-site
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... contractual requirements). Required Qualifications • At least 2 years of experience in health ...
Care Manager, LTSS (RN)
Detroit, MI · On-site
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... contractual requirements). Required Qualifications • At least 2 years of experience in health ...
Care Manager, LTSS (RN)
Detroit, MI · On-site
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... contractual requirements). Required Qualifications • At least 2 years of experience in health ...
Care Manager, LTSS (RN)
Detroit, MI · On-site
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... contractual requirements). Required Qualifications • At least 2 years of experience in health ...
Interventional Radiology Registered Nurse (RN) | Williamsburg, Michigan
Williamsburg, MI · On-site
$2.9K - $3.0K/wk
Key Qualifications: * Active, unrestricted RN license * Minimum of 1 year experience in ... The actual amount may vary based on hours worked, eligibility for reimbursements, and seasonal ...
Interventional Radiology Registered Nurse (RN) | Williamsburg, Michigan
Williamsburg, MI · On-site
$2.9K - $3.0K/wk
Key Qualifications: * Active, unrestricted RN license * Minimum of 1 year experience in ... The actual amount may vary based on hours worked, eligibility for reimbursements, and seasonal ...
Health Services Administrator, RN
Grand Rapids, MI · On-site
$104K - $109K/yr
This position will be filled by a Registered Nurse. VitalCore's Corporate Office is in Kansas with ... Manages labor ensuring the * site is staffed according to contractual commitments and supervises ...
Quick apply
Health Services Administrator, RN
Grand Rapids, MI · On-site
$104K - $109K/yr
This position will be filled by a Registered Nurse. VitalCore's Corporate Office is in Kansas with ... Manages labor ensuring the * site is staffed according to contractual commitments and supervises ...
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Interventional Radiology Registered Nurse (RN) | Kingsley, Michigan
Kingsley, MI · On-site
$2.9K - $3.0K/wk
Step into a vital role supporting patient care as an RN skilled in Interventional Radiology. This ... The actual amount may vary based on hours worked, eligibility for reimbursements, and seasonal ...
Interventional Radiology Registered Nurse (RN) | Kingsley, Michigan
Kingsley, MI · On-site
$2.9K - $3.0K/wk
Step into a vital role supporting patient care as an RN skilled in Interventional Radiology. This ... The actual amount may vary based on hours worked, eligibility for reimbursements, and seasonal ...
Medical-Surgical Registered Nurse (RN) - Brooklyn, Michigan
Brooklyn, MI · On-site
$1.6K - $1.8K/wk
This opportunity is ideal for experienced Registered Nurses ready to make a difference, working ... The actual amount may vary based on hours worked, eligibility for reimbursements, and seasonal ...
Medical-Surgical Registered Nurse (RN) - Brooklyn, Michigan
Brooklyn, MI · On-site
$1.6K - $1.8K/wk
This opportunity is ideal for experienced Registered Nurses ready to make a difference, working ... The actual amount may vary based on hours worked, eligibility for reimbursements, and seasonal ...
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications At least 2 years ...
Contractual Seasonal Rn information
What is the difference between Contractual Seasonal Rn vs Contractual Permanent Rn?
| Aspect | Contractual Seasonal Rn | Contractual Permanent Rn |
|---|---|---|
| Duration of Employment | Limited to specific seasons or periods | Ongoing, with no fixed end date |
| Certifications Needed | Registered Nurse (RN) license, relevant certifications | Registered Nurse (RN) license, relevant certifications |
| Work Environment | Hospitals, clinics, or facilities during peak seasons | Hospitals, clinics, or healthcare facilities year-round |
| Job Stability | Temporary, seasonal employment | More stable, ongoing employment |
Contractual Seasonal Rns work temporarily during specific seasons, often in response to increased patient loads, while Contractual Permanent Rns have ongoing contracts providing continuous employment. Both roles require RN licensure and relevant certifications, but their employment duration and stability differ significantly.
What cities in Michigan are hiring for Contractual Seasonal Rn jobs?
Cities in Michigan with the most Contractual Seasonal Rn job openings:
RN Utilization Management
Detroit, MI • On-site
OpTech LLC
Full-time
Retirement
Posted 22 days ago
Job description
Detroit, Michigan
Registered Nurse (RN)
Contract
We are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan.
Job Description:
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 through the health care continuum including member outreach assessments.
EDUCATION AND EXPERIENCE:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Review, research and authorize requests for authorization of elective, direct, ancillary, urgent, emergency, etc. services. Contact appropriate medical and support personnel to identify and recommend alternative treatment, service levels, length of stays, etc. using approved clinical protocols.
2. Analyze, research, respond to and prepare documentation related to retrospective review requests and appeals in accordance with local, state and federal regulatory and designated accreditation (e.g. NCQA) standards.
3. Establish, coordinate and communicate discharge planning needs with appropriate internal and external entities.
4. Analyze patterns of care associated with disease progression; identify contractual services and organize delivery through appropriate channels.
5. Research and resolve issues related to benefits, member eligibility, non-elective and non-authorized services, coordination of benefits, Mental Health, Substance Abuse care coordination, etc.
6. Identify and document quality of care issues; resolve or route to appropriate area for resolution.
7. Follow out-of-area/out-of-network services and make recommendations on patient transfer to in-network services and/or alternative plans of care.
8. Develop and deliver targeted education for provider community related to policies, procedures, benefits, etc.
9. As needed and in conjunction with Provider Services, may identify and negotiate reimbursement rates for non-contracted providers for services.
10. Other duties may be assigned based on designated department assignment.
Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/
Registered Nurse (RN)
Contract
We are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan.
Job Description:
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 through the health care continuum including member outreach assessments.
EDUCATION AND EXPERIENCE:
- Registered Nurse unrestricted/current Michigan RN license
- 2 + yr clinical experience - acute care
- Utilization Management experience/role
- Technical - MS Office, Type 35+ WPM, Dual monitors, multiple systems
- 1 yr health insurance plan experience or managed care environment preferred .
- Bachelor's degree in nursing, allied health, business, or related field preferred .
- Certification in Case Management preferred
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Review, research and authorize requests for authorization of elective, direct, ancillary, urgent, emergency, etc. services. Contact appropriate medical and support personnel to identify and recommend alternative treatment, service levels, length of stays, etc. using approved clinical protocols.
2. Analyze, research, respond to and prepare documentation related to retrospective review requests and appeals in accordance with local, state and federal regulatory and designated accreditation (e.g. NCQA) standards.
3. Establish, coordinate and communicate discharge planning needs with appropriate internal and external entities.
4. Analyze patterns of care associated with disease progression; identify contractual services and organize delivery through appropriate channels.
5. Research and resolve issues related to benefits, member eligibility, non-elective and non-authorized services, coordination of benefits, Mental Health, Substance Abuse care coordination, etc.
6. Identify and document quality of care issues; resolve or route to appropriate area for resolution.
7. Follow out-of-area/out-of-network services and make recommendations on patient transfer to in-network services and/or alternative plans of care.
8. Develop and deliver targeted education for provider community related to policies, procedures, benefits, etc.
9. As needed and in conjunction with Provider Services, may identify and negotiate reimbursement rates for non-contracted providers for services.
10. Other duties may be assigned based on designated department assignment.
Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/