• RN Care Manager Remote

    Molina Healthcare (MI)
    …Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume environment. ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (08/08/25)
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  • RN Field Care Manager

    Humana (Lansing, MI)
    …: care management, hospice, home health or equivalent environment + **Active Michigan Registered Nurse ( RN ) license with no disciplinary action** + ... **Position Responsibilities:** + The RN Field Care Manager will be responsible for managing a case...your skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or… more
    Humana (08/09/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Sterling Heights, MI)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified… more
    Molina Healthcare (08/02/25)
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  • Field Case Manager

    Sedgwick (Detroit, MI)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our ... **​Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...on the health and lives of others, and a remote work environment that allows face to face interaction… more
    Sedgwick (07/29/25)
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  • Operations Manager , VBCM- Remote

    Sharecare (Lansing, MI)
    …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree ... experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical team is… more
    Sharecare (07/30/25)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Lansing, MI)
    …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is...for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5… more
    Prime Therapeutics (07/24/25)
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  • Field Case Manager

    Sedgwick (Lansing, MI)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case ... US and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of 1.5...on the health and lives of others, and a remote work environment that allows face to face interaction… more
    Sedgwick (07/03/25)
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  • Clinical Documentation Integrity (CDI) Coordinator…

    Trinity Health (Livonia, MI)
    …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... PURPOSE** Work Remote Position At the direction of the Regional Manager and Supervisor, Clinical Documentation Integrity (CDI), this position is responsible for… more
    Trinity Health (07/30/25)
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  • Manager , Care Management

    Humana (Lansing, MI)
    …in Michigan and be able to travel to Wayne County or Macomb County.** + **Active Registered Nurse ( RN ) license or Social Work (SW) license in the state ... RN or Social Worker to include experience in case and/or disease management + Minimum 2 years of...to be screened for TB.​ **Preferred Qualifications** + Certified Case Manager (CCM) + Previous experience working… more
    Humana (06/28/25)
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  • Care Manager

    AmeriHealth Caritas (Southfield, MI)
    …Health preferred + 3+ years of clinical experience at the bedside (as a Registered Nurse ) working with medically fragile patients in an acute care, home ... within a managed care organization, desired. **Licensure** + Current and unrestricted Registered Nurse licensure + Valid driver's license and car insurance.… more
    AmeriHealth Caritas (07/10/25)
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