• MSW Inpatient Case Manager

    Henry Ford Health System (Detroit, MI)
    …provided. . The Case Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote, allowing staff to ... for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American ...of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
    Henry Ford Health System (05/16/25)
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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...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (07/29/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Dearborn, MI)
    **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
    Elevance Health (07/30/25)
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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...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (07/03/25)
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  • RN Crisis Care Triage

    Sedgwick (Lansing, MI)
    …obtains and provides medical status updates to the customer, and assigns a Field Case Manager (FCM) for onsite visits as appropriate. Ensures that client service ... emergencies and recommends appropriate interventions. + Assigns appropriate Field Case Manager assignment and facilitates initial onsite hospital… more
    Sedgwick (07/25/25)
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  • Transition of Care Coach ( RN )

    Molina Healthcare (MI)
    …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (07/27/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Warren, MI)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (08/08/25)
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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)
    …Valid driver's license and car insurance. + Current and unrestricted Registered Nurse licensure. + Eligible to sit for Case Management certification after 12 ... **Role Overview:** The Care Manager is responsible for managing and coordinating care,...years of clinical experience at the bedside (as a Registered Nurse ) working with medically fragile patients… more
    AmeriHealth Caritas (07/27/25)
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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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