Utilization review nurse jobs in Southfield, MI - 128 jobs

Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. Job Duties Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers. Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience. Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions. Supplies criteria supporting all recommendations for denial or modification of payment decisions. Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. Provides training and support to clinical peers. Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. Job Qualifications REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice. Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). Experience working within applicable state, federal, and third-party regulations. Analytic, problem-solving, and decision-making skills. Organizational and time-management skills. Attention to detail. Critical-thinking and active listening skills. Common look proficiency. Effective verbal and written communication skills. Microsoft Office suite and applicable software program(s) proficiency. PREFERRED QUALIFICATIONS: Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications. Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics. Billing and coding experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $29.05 - $67.97 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Utilization Review Nurse. Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the RN Utilization Review Nurse position for you! Company Job Description/Day to Day Duties: Providing utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines Provider appeals and Utilization reviews and assist with Denial Letters Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team. Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures. Participates in interdepartmental integration and collaboration to enhance the continuity of care for members including Behavioral Health and Long Term Care. Hours for this Position: Mon-Fri: 8:30am - 5pm Advantages of this Opportunity: Great salary between $33 - 37! Great benefits!!! Fun and positive work environment! Qualifications Minimum Education/Qualifications/Licensures: Must be an RN Utilization Review background in either Managed Care of Provider environment (at least one year) Interqual experience (at least one year) Also has a background in patient, skilled nurses facilities, rehab, and home healthcare. Other basic computer skills necessary: Microsoft Office, Data Entry, etc. Minimum 2-4 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management. Great typing and data entry skills Additional Information Interested in being considered? If you are interested in being considered for this position, please click the apply button below. Or call John Wood 407-478-0332 ext 225

Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus

Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are proud of the quality care we provide members, and our team is rapidly expanding to meet the demands of our growing business; we are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other at-risk populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 (PRN) and offers tremendous flexibility and opportunity for those who are balancing competing priorities. Learn more about our primary purpose here Follow us on LinkedIn: ****************************************** NP Responsibilities: In-home Clinical Assessments Travel to members' homes and conduct comprehensive health evaluations Conduct Annual Wellness Visits and health assessments for members with chronic conditions. Perform: Medical history and physical examinations Review of systems Vital signs collection Medication review and reconciliation Possible preventive health screenings Hemoglobin A1C Spirometry KED (Kidney Health Evaluation) DRE (Diabetic Retinal Exam) FIT Patient Education & Engagement Deliver preventive health education and counseling opportunities. Educate patients on ongoing health monitoring, medication adherence, and chronic condition management. Support informed decision-making and ensure true, informed consent. Engage in goals of care discussions when appropriate. Care Coordination & Quality Support Identify clinically relevant diagnoses for care management and risk adjustment documentation. Communicate findings used to generate post visit summaries for the primary care provider. Identify and help close quality care gaps (e.g., screenings, labs, follow-ups). Collaborate enthusiastically with the broader care team to enhance clinical quality and patient experience. Compliance & Professional Standards Adhere to HIPAA regulations and safeguard protected health information (PHI). Maintain accurate, timely, and compliant EMR documentation. Perform additional duties as assigned in alignment with organizational goals. An enthusiastic collaborator contributing to the enhancement of care delivery Providers are expected to commit a minimum of 30 hours per month Locations: Wayne County, Michigan Requirements Travel Requirements Daily travel expectations remain within a 55-mile radius of the assigned home location. NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in This role requires travel up to a maximum 55-mile radius originating in the assigned job posting county Preference is given to weekday schedules Preference is given to standard working hour schedules Previous in-home risk assessment experience preferred Previous 1099 (PRN) experience is preferred but not required 3 years patient care experience preferred (primary care/adult/geriatric, EMR) May be requested to obtain additional NP licensure supported by Advantmed Access to reliable transportation that will enable you to travel to members' homes within a designated area Strong ability to work within our EMR system Ability to work independently Bilingual is a plus Benefits Advantmed offers: Competitive compensation of ~$100 per completed in-home health assessment Paid mileage Flexible work schedule, choose your own schedule No on call Visits ready to be scheduled immediately Appointment confirmation support Dedicated coordinator support Advanced member scheduling coverage State of art technology

Paradigm is looking for a full-time, 0.8 - 1.0 FTE (32-40 hours per week), benefited Field Nurse Case Manager to cover the greater Detroit, MI, area. This is a salaried position: base salary range at 0.8 FTE is $68,000 - $75,000. At 1.0 FTE, base salary range is from $85,000 - $97,500 annually. A Field Case Manager role is a home-based position with travel, up to 2 hours one-way, to doctors' offices, hospitals, and various other locations. This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers. We have been recognized, again! This is Paradigm's third time in a row being certified as Great Place to Work reflecting our ongoing commitment to a positive, diverse, and supportive employee-centric culture. Watch this 5-minute video for a brief introduction to the role of a nurse case manager at Paradigm. At Paradigm, People Come First! It's more than a job. It's a passion. Work at Paradigm, and you'll find deep satisfaction knowing you're making a profound difference in people's lives. Meaningful work: better outcomes for all isn't just our tagline. It's what guides us to do our best-every day. At Paradigm, you'll find an authentic connection between the work you do and your passion for making a difference in the world. Exceptional people: You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives. Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes. Qualifications Current, unencumbered Registered Nurse (RN) license in Michigan Experience in case management of workers comp cases, strongly preferred Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred; will need to obtain within two years of hire date Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal) Ability to operate autonomously with minimal oversight Skilled at patient education Bilingual Spanish speaking a plus Valid driver's license and good driving history

The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES Monitor incoming faxes Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes Verify eligibility and claim history in proprietary claims platform Verify all necessary documentation has been submitted with authorization requests Contact requesting providers to obtain medical records or other necessary documentation related to specific UM request Generate correspondence and assist with faxing/mailing member and provider notifications Complete verbal notifications Document as required in authorization platform Initiate appeal cases and forward to UM Nurses for completion Meet internal and regulator deadlines for UM cases Complete tasks assigned by UM Nurses and document as required Complete inquiries received from call center and other internal & external sources Other duties as assigned by UM Director Strong organizational skills, ability to adapt quickly to change and desire to work in a fast-paced environment Team oriented and self-motivated with a positive attitude Pay: $19.00/hour What will you learn in the first 6 months? Verbal notifications How to work in authorization systems Essette and Salesforce Incoming/outgoing faxing process Understanding the expectations and functions of the UM team Time Management What will you achieve in the first 12 months? Expand knowledge of ICD-10 and HCPC codes Maintaining expected timelines EXPERIENCE: 1 year as a UM Coordinator in a managed care payer environment preferred Knowledge of ICD-10, HCPCS codes and medical terminology required Ability to prioritize multiple tasks using time management and organizational skills Strong computer skills with proficiency in Word, Outlook and other software applications Ability to collect data, establish facts and draw valid conclusions Effective written and oral communication skills Experience with DMEPOS desired Medicare/Medicaid experience a plus Benefits Offered Competitive compensation and annual bonus program 401(k) retirement program with company match Company-paid life insurance Company-paid short term disability coverage (location restrictions may apply) Medical, Vision, and Dental benefits Paid Time Off (PTO) Paid Parental Leave Sick Time Paid company holidays and floating holidays Quarterly company-sponsored events Health and wellness programs Career development opportunities Remote Opportunities We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health. With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We're looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you. Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don't hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

NeuLife Rehabilitation of Michigan provides rehabilitation and residential services for individuals with Traumatic Brain Injury (TBI), Acquired Brain Injury (ABI), Spinal Cord Injuries, and Neurological Disorders. Reports To: Executive Director FLSA Status: Exempt Position Summary: NeuLife Rehabilitation is seeking a compassionate, organized, and outcomes-driven Nurse Case Manager to join our interdisciplinary clinical team. The Nurse Case Manager leads care coordination for patients with complex medical and rehabilitation needs across the continuum of care to ensure safe transitions, optimized clinical outcomes, regulatory compliance, and efficient utilization of resources. Key Responsibilities: - Conduct comprehensive patient assessments. - Develop and manage individualized care plans. - Coordinate interdisciplinary care conferences. - Manage utilization review and payer authorizations. - Lead discharge planning and transitions of care. - Educate patients and families. - Maintain compliant documentation. - Track quality and performance metrics. - Support campus leadership with clinical insights. Required Qualifications: - Active LPN or RN license. - Minimum 3 years clinical experience. - Strong communication and organizational skills. Preferred Qualifications: - BSN (RN). - Case management experience. Preferred Certifications: - CCM, ACM, ACM-RN, or RN-BC. Physical Requirements: - Sit, stand, and walk for extended periods. - Lift up to 25 pounds occasionally. - Use computer and office equipment. - Communicate effectively in person and electronically. Working Conditions: - Clinical environment with patient, family, and payer interaction. - Travel between campuses as needed. NeuLife Rehabilitation is committed to compassionate, evidence-based care.

Travel within Wayne and Macomb county. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. **Duties:** Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or members needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures **Experience:** · Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required. · Healthcare and/or managed care industry experience. · Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding · Effective communication skills, both verbal and written. · Ability to multitask, prioritize and effectively adapt to a fast paced changing environment · Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. · Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. · Typical office working environment with productivity and quality expectations **Education:** · RN with current unrestricted state licensure. · Case Management Certification · CCM preferred **Skills:** **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit *********************** . US Tech Solutions is an Equal Opportunity Employer. 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.

Job Title Transitional Nurse Liaison (Lapeer, Port Huron) Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job Description At Residential Home Health and Hospice ('Residential'), we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our Transitional Nurse Liaison (TNL) will partner with our field staff and leaders to provide the best support to the patients that we serve. With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path. Our high value rewards package: * Up to 22 paid holiday and personal days off in year one * DailyPay: Access your money when you want it! * Industry-leading 360 You benefits program * Company paid emotional health and wellness support for you and your family * Adoption assistance * Access to Ramsey SmartDollar Certain benefits may vary based on your employment status. What you'll do in this role: * Responsible for obtaining complete/accurate demographic information, medical history including diagnosis for care and primary care physician information. * Responsible for introducing Company to the patient/caregiver, explaining scope of our services, skilled services requested and coordinating start of care visit. * Community Education as requested by our sales to physician offices, assisted living facilities, including but not limited to educational in-services, blood pressure clinics and health fairs. * Patient education at bedside, arranging post discharge physician follow up appointments, sharing important discharge information with the primary care physician. We are looking for a compassionate Transitional Nurse Liaison (TNL) with: * Must have LPN or RN Licensure in good standing. * Minimum of one (1) year of experience in an acute care setting. * Minimum of one (1) year of experience in a customer service capacity. We are an equal opportunity employer and value diversity at our company. NOTICE: * Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. * By supplying your phone number, you agree to receive communication via phone or text. * By submitting your application, you are confirming that you are legally authorized to work in the United States. Residential Home Health and Residential Hospice is an Equal Opportunity Employer

At Residential Home Health and Hospice (‘Residential'), we're looking to add to our extraordinary care team. Grounded by our belief that outstanding care is best delivered in a team-based environment, our Transitional Nurse Liaison (TNL) will partner with our field staff and leaders to provide the best support to the patients that we serve. With our 20-year track record, Residential is a strong leader in the industry. We are consistently named a Top Workplace by our employees and genuinely care where you are in your career path. Our high value rewards package: Up to 22 paid holiday and personal days off in year one DailyPay: Access your money when you want it! Industry-leading 360 You™ benefits program Company paid emotional health and wellness support for you and your family Adoption assistance Access to Ramsey SmartDollar Certain benefits may vary based on your employment status. What you'll do in this role: Responsible for obtaining complete/accurate demographic information, medical history including diagnosis for care and primary care physician information. Responsible for introducing Company to the patient/caregiver, explaining scope of our services, skilled services requested and coordinating start of care visit. Community Education as requested by our sales to physician offices, assisted living facilities, including but not limited to educational in-services, blood pressure clinics and health fairs. Patient education at bedside, arranging post discharge physician follow up appointments, sharing important discharge information with the primary care physician. We are looking for a compassionate Transitional Nurse Liaison (TNL) with: Must have LPN or RN Licensure in good standing. Minimum of one (1) year of experience in an acute care setting. Minimum of one (1) year of experience in a customer service capacity. We are an equal opportunity employer and value diversity at our company. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. Residential Home Health and Residential Hospice is an Equal Opportunity Employer

Job Title: Registered Nurse Job Status: Full-time Job Summary: Under limited supervision, uses intermediate skills obtained through experience and training to improve the physical health status of clients with serious mental illness, including those with co-occurring substance use disorders, who have or are at risk for comorbid primary care conditions and chronic disease. Conduct assessments, draft client care plans, make changes to treatments in care plans. Manages transitions of care with hospital discharge planners. Coordinates care of all clients still in Treat-to-Target stage or high disease acuities. Supervises a team of care workers and wellness coaches and utilizes an Electronic Health Record system to ensure that there is no break in the care provided. Essential Duties and Responsibilities: Conduct social and medical risk assessments on clients including monitoring patient vital signs and develop plans of care specific to their health needs. Assessments may be conducted on ACCESS property or in clients homes Enroll clients into appropriate program benefits and activities and monitor progress. Coordinate the delivery of benefits and services to clients. Refer clients to other services as needed Advocate on behalf of client in written and oral form when providing necessary referrals and contacts with other departments/agencies/companies Assist clients in recognizing and understanding at risk behaviors. Provide one to one health education to clients Plan, provide and/or conduct educational presentations to clients Functions as a member of a multidisciplinary team that includes a nurse practitioner and clinicians Review, interpret and explain to program participants the policies and procedures of the program Document all services in compliance with the agencies quality assurance plan. Report on program progress at required intervals per funding guidelines Develop and update educational materials for use by patients. Participates in team reviews, staff meetings and staff trainings Maintain agency confidentiality, client s privacy, and HIPAA compliance Supervise, coach, and assess staff performance May participate in grant proposal writing and submission May participate in audits as needed Maintains currency on new developments in the nursing field as mandated by the National Council of State Boards of Nursing Operates standard office equipment and uses required software applications. Shall follow the funding sources requirements and CARF standards applicable to the services you provide Performs other duties and responsibilities as assigned Knowledge, Skills, and Abilities: Knowledge of: Guidelines and standards of the program Medical/ health and social risk standards Fundamental knowledge of concepts, practices and procedures used in nursing education and counseling as well as public health and dealing with high risk populations Intermediate math skills Basic knowledge of training design and culturally sensitive delivery for individuals and groups Skill in: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems Instructing Teaching others how to do something Operating standard office equipments and using required software applications, including Microsoft Office, Excel and PowerPoint, the reporting software recommended by funding agency and the ACCESS Electronic Health Record system Ability to: Actively listen to clients Partner with other functional areas to accomplish objectives Facilitate meetings, ensuring that all viewpoints, ideas, and problems are addressed. Organize and prioritize multiple tasks and meet deadlines Communicate effectively, both orally and in writing Speak and write in English. Ability to interpret, speak and write in Arabic, Spanish or other native language of the predominant service population a plus Maintain confidentiality of agency and client information Work independently as well as collaboratively within a team environment Handle stressful situations and provide a high level of customer service in a calm and professional manner Establish and maintain effective working relationships Educational/Previous Experience Requirements: Minimum Degree Required: Associate s Degree in Nursing Bachelor s Degree in Nursing preferred ~and~ Minimum of two years experience in supervising a team in a community health setting or other related health field or any equivalent combination of experience, education, and/or training approved by Human Resources. Licenses/Certifications: Licenses/Certifications Required at Date of Hire: Must be registered nurse in good standing based on current licensure requirements administered by the Michigan Board of Nursing Department of Licensing and Regulatory Affairs. Working Conditions: Hours: Normal business hours. Some additional hours may be required. Travel Required: Local travel may be required. Travel required within Wayne, Oakland, and Macomb Counties. Travel throughout the state may be required based on the assigned functional area. Working Environment: Climate controlled office environment during normal business hours.

Premier Medical Staffing Services is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Rochester, Michigan. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN 36 hours per week Shift: 12 hours Employment Type: Travel Premier Medical Staffing Job ID #614616. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: L&D RN About Premier Medical Staffing Services Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.

The Education Nurse Coordinator will work with staff members and management personnel to articulate, interpret, and ensure that identified educational programs and processes are carried out in a consistent fashion and evaluated according to established outcomes within the Michigan Dialysis Services Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Why Join Michigan Medicine? Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. What Benefits can you Look Forward to? Nursing at Michigan offers a competitive salary with excellent benefits! Hourly range for RSAM Competent, Registered Nurses $43.10-$67.03/ hour Evening Shift Differential-$3.00 / hour Night Shift Differential- $4.00 / hour Day Shift Weekend Differential- $2.90 / hour Evening Shift Weekend Differential- $5.90 / hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour The benefit package includes: * Excellent medical, dental and vision coverage * 2:1 Match on retirement savings and immediate vesting * Generous Paid Time Off Allowances * Robust Tuition and Certification support programs * Large offering of no cost CEs and professional development for advancement Responsibilities* The Educational Nurse Coordinator (ENC) for the Michigan Dialysis Services (MDS) will play a pivotal role in staff development, quality improvement, and patient care excellence within the department. This position will collaborate with leadership to ensure effective onboarding, ongoing education, and adherence to evidence-based practices for MDS staff. The responsibilities of the ENC include: Orientation & Staff Education: * In collaboration with the leadership team, design and implement comprehensive orientation programs for all existing and new MDS staff, including scheduling, preceptor assignments, and oversight of orientation documentation and competency assessments. * Develop standardized orientation documents tailored to the needs of the MDS team. * Conduct regular education assessment surveys to identify and address the learning needs of MDS- Canton staff. * Coordinate and deliver audits, in-service training sessions based on survey results and other identified needs. * Provide and facilitate continued education (CE) opportunities to support staff development. Technology & Superuser Role: * Serve as a superuser for MI Chart and eCube, providing staff with technical support and expertise to enhance workflow efficiency. Quality Improvement & Patient Education: * Partner with MDS leadership and interdisciplinary teams to lead quality improvement initiatives, including planning, implementation, and re-evaluation phases. * Report data and outcomes of quality improvement projects to leadership and staff. * Develop and revise patient education materials in collaboration with Unit-Based Committees, physicians, and other key stakeholders. Professional Practice Development: * Ensure staff meet and maintain required institutional competencies, including mandatory training and certifications. * Collaborate with ENCs across MDS to build a professional network and share best practices. * Assist in the development and revision of policies, protocols, guidelines, and standing orders, promoting evidence-based practices in the MDS care setting. * Encourage and mentor staff in professional development activities, including preparing abstracts for speaking and poster sessions at conferences. Liaison & Committee Involvement: * Act as a liaison between clinical support staff and the leadership team to ensure seamless communication and coordination. * Serve as a representative on health system committees, task forces, and other collaborative groups as needed. High Reliability & Special Projects: * Demonstrate and promote the principles of a High Reliability Organization (HRO) in all aspects of the role. * Assist MDS leadership with special projects and initiatives to meet organizational goals. Staffing Support & Documentation: * Provide staffing support during critical needs to ensure continuity of care. * Maintain accurate and thorough documentation in the electronic medical record and other relevant systems. Ongoing Development: * Attend and participate in conferences and staff development programs to stay abreast of current literature, research, evidence-based practices, and health policy changes Nursing Specific Info Salary & Nursing Framework Level: This UMPNC RN posting is posted under the Role-Specific Advancement Model (RSAM) as: ENC- COMPETENT. Actual RSAM LEVEL and salary will be determined at time of hire. RSAM levels range from ENC-COMPETENT to ENC-EXPERT TO ENC-MASTERY TO ENC- MASTERY PLUS Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at **************. Required Qualifications* * Current license as a Registered Nurse in the State of Michigan, * Bachelors degree in nursing or an equivalent combination of education and experience * Five (5) or more years of RN Dialysis nursing experience * Experience as a Peritoneal Dialysis RN * Experience as a charge nurse, preceptor and/or supervisor NOTE: In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment. RESUME REQUIRED (for both internal & external applicants): You must attach a complete and accurate resume to be fully considered for this position. Desired Qualifications* * Three (3) or more years (in the last 5 years) RN experience working in Peritoneal Dialysis clinic setting. * Three (3) or more years (in the last 5 years) RN experience working in the dialysis clinic setting. * Demonstrated ability to facilitate change, direct nursing practice, prioritize, problem solve, evaluate outcomes and delegate as evidenced by previous employment experience * Demonstrated excellent interpersonal skills as evidence by excellence in verbal and written communication skills, positive and professional attitude, and ability to provide direct and effective feedback. Other characteristics include adaptability, flexibility, ability to establish working relationships, detail oriented, and demonstrated ability to solve problems, * Knowledge of Michigan Medicines policies and procedures, * Knowledge of the Fresenius Medical Care policies and procedures, * Knowledge of Baxter policies and procedures, * Demonstrated computer competency including the use of Microsoft word, excel, power point and outlook, * Proficiency in MiChart * Proficiency in eCube * High level of self motivation * Demonstrated organizational skills * Expertise in quality improvement and LEAN programs Work Schedule Primary focus: MDS-Livonia but this role can be asked to assist other MDS clinics, as needed. Hours: 40 hours/week Shift/Days: Primarily day shift, requires flexibility to meet the needs of the unit(s). May include evenings and weekends. Location: MDS Clinic, Livonia- with the ability to travel may be required All new employees will be expected to float to a designated unit(s) in times of low census. Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes

Certified Student Support Services/School Nurse District: Oak Park Schools Attachment(s): District Nurse.pdf

Why Work at Concerto? What is in it for you? Three (3) day work week Competitive pay Nurse to patient's ratio Clinical/Corporate Career Advancement Medical, dental, vision, short- and long-term disability benefits Pet Insurance 401k match of 50% up to 6% of salary PTO Paid Holidays Discounts through Nectar Employer Paid Employee Assistance Program Who Are We? Concerto Renal Services is an industry leader in sub-acute hemodialysis within a skilled nursing facility and/or long-term care facility. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model. Why is this Role Essential? Concerto is seeking a Dialysis Nurse to join its team! The Dialysis Nurse supervises dialysis care in accordance with policy, procedure and training and in compliance with state and federal regulations. Assures responsibility for the unit and works collaboratively with members of the hemodialysis healthcare team. Supervises care given by dialysis technicians while assuming a ‘hands on' role and fostering a team approach to patient care. What Will You Do? Patient Care & Education Provides direct hemodialysis care, performs assessments, administers medications, and educates patients on renal health, treatment, and self-care. Team Leadership & Supervision Delegates tasks to dialysis technicians, supervises their performance, and ensures compliance with clinical standards and regulations. Treatment Monitoring & Adjustment Monitors patient response to dialysis, adjusts treatment plans as needed, and ensures accurate documentation of interventions and outcomes. Collaboration & Communication Works closely with physicians and healthcare team members to coordinate care, report critical lab results, and ensure continuity of treatment. Documentation & Compliance Maintains accurate electronic medical records, ensures timely completion of care plans, and adheres to safety and regulatory protocols. Qualifications You Might Be a Good Fit If You are... Compassionate and Empathetic A Critical Thinker and Problem-Solver An Individual who Thrives in a Team Environment An Individual with Excellent Communication Skills Purpose-driven What's Required? Graduate of an accredited school of Nursing Current State appropriate or Compact RN License Minimum of one (1) year of nursing experience in any practice area Minimum of three (3) months of Dialysis experience required BLS Provider certification Physical Requirements & Work Environment This role requires successful completion of the Ishihara Color Blindness Test to ensure accurate color perception in a clinical setting. It also involves prolonged walking, standing, stooping, and bending, with the ability to lift up to 25 lbs. Strong focus and attention to detail are essential. The work environment includes temperature control, moderate noise levels, and potential exposure to infectious materials. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Compensation $38 - $50 per hour Hourly rate is dependent upon several factors, including but not limited to the following: a candidate's experience in this position and/or the dialysis industry in general, location of the position in question, urgency of company need, timeline of required to fill position, and other potential and/or applicable factors that emerge from time to time.

Job Description Job Title: Registered Nurse Employment Type: Full-time Please Note: You will never be charged a fee at any stage of this process. Job Bridge Global does not charge recruitment or registration fees. All costs are covered by the employer. This role is based in the United States. Requirements Position Overview We are seeking dedicated and compassionate Registered Nurses to join a large hospital in Michigan and Indiana. This is an exciting opportunity to make a real impact on patient lives, working within a supportive and professional environment. All visa and registration costs are covered, plus a signing on bonus, relocation assistance, health benefits, and opportunities to advance your nursing career all with a promise of a good work to life balance. As a Registered Nurse, you will deliver high-quality, patient-centered care while collaborating with interdisciplinary medical teams to ensure the well-being and recovery of your patients. Key Responsibilities Direct Patient Care: Deliver safe, effective, and empathetic care in accordance with established clinical standards. Clinical Assessments: Monitor patient conditions, perform assessments, administer medications, and track vital signs. Care Planning: Develop and implement individualized care plans in coordination with physicians and other healthcare professionals. Team Collaboration: Work closely with doctors, specialists, and therapists to ensure comprehensive patient care. Patient Communication: Educate and support patients and their families on treatment plans and health management. Documentation: Maintain accurate and up-to-date medical records in line with facility and regulatory requirements. Compliance: Follow all relevant healthcare laws, regulations, and facility policies to maintain high safety and ethical standards. Candidate Requirements Education: Bachelor's Degree in Nursing (BSN). Experience: A minimum of 1-2 years of experience is preferred. Newly qualified nurses are also encouraged to apply. Skills: Strong clinical knowledge, attention to detail, effective communication skills, and the ability to thrive under pressure. Attributes: Compassionate, empathetic, and committed to high standards of patient care. Language: Proficiency in English (reading, writing, speaking, and listening) is essential. Benefits What's on Offer Competitive pay: Starting at $37 per hour but could be higher depending on experience Visa sponsorship and full relocation support Career growth opportunities Professional training and ongoing development Supportive and inclusive work environment Health, dental, and vision insurance Generous paid time off (PTO) Retirement plans with employer contributions Tuition reimbursement & ongoing education opportunities Opportunities for advancement in a growing health system How to Apply Submit your application through our online form. A member of our team will be in touch to guide you through the next steps.

Integro Asset Management is a management company that specializes in the areas of skilled nursing, assisted living, and memory care in senior living communities located in various states located across the US. Integro's goal is provides a serene setting and compassionate care to our senior living and memory care residents. At Integro we are dedicated to Enhancing Quality of Life. We are looking for an experienced Quality Assurance Nurse to serves as an integral part of the multidisciplinary team overseeing all quality related activities across the health care setting. This will be a remote position that will require travel. General Purpose The Regional Quality Assurance Nurse serves as an integral part of the multidisciplinary team overseeing all quality related activities across the communities. The Regional Quality Assurance Nurse is primarily responsible for providing leadership, support, and direction to multiple healthcare communities. The Regional Nurse oversees all clinical operations of the facilities in their region, ensures that company policies and procedures are carried out and that regulatory compliance standards are being met. The Regional Nurse ensures optimal utilization of resources and compliance with the operating standards of various health care governing and accrediting bodies. The position of Regional Nurse is as much a support role, as it is a leadership role. Regional Nurses work alongside the management teams at each facility to develop and implement processes, identify and resolve issues. The qualifications of a Regional Nurse generally include: Qualifications: Bachelors in Nursing A minimum of five (5) years' experience as a Professional Nurse and maintains a current state license as a Registered Nurse (RN) At least 5 years nursing management experience in assisted living, skilled nursing or long-term care environments Proficiency in computer skills, Microsoft Office (Windows, Outlook, Excel) with the ability to learn new applications Able to travel within a geographic area or on assignments Demonstration of competence in assessment skills and know how to recognize and implement the standards that protect brand integrity through all services knowledge of local, state, and federal regulatory compliance standards and medical practices within the scope of long-term care. Minimum five (5) years experience in the Performance Improvement discipline in a long term care facility with a successful track record and demonstrated progressive management. (preferred) Responsibilities: Works with nursing leadership across facilities to ensure regular clinical competency verification of nursing staff Conducts Root Cause Analyses for clinical adverse events and near miss events; develops action plans to reduce risk of recurrence; follows the progress of these action plans Identifies areas of potential risk and develops systems within the organization to minimize risk of adverse events or negative quality outcomes Conduct annual and complaint survey preparation Performs other duties as requested by leadership team Quality monitoring of services, training, regulatory compliance and implementation of resident care policies, forms and systems Coordinates the development and integration of a "dashboard" for clinical outcomes, critical interventions, cost, utilization, satisfaction, etc. Continuously assesses the organization's compliance with external regulatory bodies Performs all other duties as requested by leadership Members of our team Enjoy: Working with a highly engaged staff Healthy staffing levels Flexible scheduling Career growth Competitive compensation

At Reproductive Medicine Associates of Michigan, we are proud to be one of the top fertility practices in the United States, with a mission to help individuals and couples build their families. For 18 years, our team of dedicated physicians, nurses, and staff has worked together toward the common goal of bringing hope to our patients. We are committed to offering compassionate care, expert advice, and unwavering support when our patients need it most. If you share our passion for helping others and making a meaningful difference in their lives, we invite you to join our exceptional nursing team! Position Overview: As an IVF Nurse, you will play a key role in guiding patients through their fertility treatment journey. You will provide education, coordinate care, and offer emotional support to help patients achieve their dream of starting or expanding their families. Responsibilities: Serve as a Treatment Care Coordinator for fertility patients and couples Case management and clinical treatment of fertility patients Extensive patient education about ART (Assisted Reproductive Technology) and infertility treatments Counsel patients during initial visits regarding treatment options and next steps Communicate physician orders, instructions, and lab results with clear interpretation Perform telephone triage, addressing medication concerns, treatment plans, lab results, and any patient inquiries Ensure exceptional patient care throughout their IVF treatment cycle Shift Information: Start Time: 6:00 AM Schedule: Four 10-hour shifts, with rotating weekends and holidays After one year, enjoy the flexibility of one remote day per week Job Requirements: Specialization in women's health services is preferred Fertility experience is highly desirable Ability to work independently with strong critical thinking skills Must be comfortable working weekends on rotation Strong leadership abilities and a desire to make a lasting impact on patient care Qualifications: Nursing Experience: At least 2 years (required) License: Must hold an active MI RN license (required) Education: Bachelor of Science in Nursing (BSN) is preferred Why Choose Us? Impactful Work: Play a pivotal role in the fertility journey, helping people realize their dream of parenthood. Collaborative Environment: Work alongside a compassionate, dedicated team focused on providing the best care possible. Professional Growth: Opportunities to grow in a supportive, forward-thinking practice, including flexible work arrangements after one year. If you are passionate about reproductive healthcare and committed to providing the highest level of care, we want to hear from you! Apply today and make a difference in the lives of our patients!

Reports to the Nursing Leader/Administration. The Nurse Coordinator is a Registered Nurse who under the direction of department leadership develops, implements, monitors and evaluates a program of care for patients. Coordinates care across the continuum to facilitate quality outcomes. Collaborates with other healthcare team members including physicians, nurses, extenders, ancillary and support staff to ensure optimum patient care and satisfaction. Provides education to patients and family regarding disease process. Trains and directs a nursing team in the optimal care of the patient. Location: Detroit Main Campus K14 Hours: 8AM-430PM Monday -Friday (no weekends, no "on call") Benefits: Full Time EDUCATION/EXPERIENCE REQUIRED: Graduate from an accredited school of nursing. Successful completion of HFHS (Parent Operating Group) Pharmacology test. Maintains and demonstrates current clinical knowledge in area of specialty. Bachelor's Degree in Nursing preferred. A minimum of three to five years of progressively more responsible clinical nursing practice in cardiac surgery or cardiology. Previous ambulatory clinic experience preferred Certification in specialty preferred. Clinical knowledge and analytical abilities necessary to formulate effective nursing care plans. Ability to perform a wide variety of professional nursing services. Ability to effectively communicate with patients, families, and medical group personnel. Basic computer knowledge and keyboarding skills. Knowledge of Word and Excel. CERTIFICATIONS/LICENSURES REQUIRED: Current licensure by the Michigan State Board of Nursing as a Registered Nurse. Current BLS or ACLS per HFHS Policy. #LI-VD1 Additional Information * Organization: Henry Ford Medical Group * Department: Surgery Cardiac * Shift: Day Job * Union Code: Not Applicable