- Molina Healthcare (Grand Rapids, MI)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical… more
- Corewell Health (Grand Rapids, MI)
- …Health Ludington Hospital) Required + 2 years of relevant experience clinical nursing and or case management/ managed care or related field Required + 5 years ... of relevant experience clinical nursing and or case management/ managed care or related...(RN) - State of Michigan Upon Hire required + Case Manager , Certified (CCM) - CCMC Commission… more
- Munson Healthcare (Traverse City, MI)
- The Patient Care Manager facilitates progression-of- care ; and monitors the patient's progress to ensure that the plan of care and services provided are ... successfully pass, the test for certification as a Certified Case Manager (CCM) or Accredited Case...all times. + Maintains working knowledge/experience in utilization management, managed care , and payer issues that may… more
- Humana (Detroit, MI)
- …and psycho-social health issues. **Position Responsibilities:** + The RN Field Care Manager will be responsible for managing a case load and completing ... community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates...coaching and wellness + Experience with Medicaid Long Term Care + Previous managed care … more
- Corewell Health (Grand Rapids, MI)
- …Health Ludington Hospital) + 2 years of relevant experience clinical nursing and or case management/ managed care or related field Required + 5 years ... of relevant experience clinical nursing and or case management/ managed care or related field Preferred + Registered Nurse (RN) - State of Michigan Upon Hire… more
- Molina Healthcare (Detroit, MI)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... regimens. * Care manager RNs may conduct medication reconciliation...care , including at least 1 year experience in care management, managed care , and/or… more
- Gentiva (Flint, MI)
- … manager senior, hospice leadership jobs, RN leadership, home-based care oversight, hospice case management, Gentiva careers ReqID: 2025-128753 Category: ... and regulatory standards. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and...experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and… more
- Highmark Health (Lansing, MI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Corewell Health (Southfield, MI)
- …Master's Degree Social work + 5 years of relevant experience LMSW - clinical and/or case management/ managed care or related field + Master Social Worker ... the application of educational concepts / skills and preventive care in a managed care environment. Collaborate with providers, community organizations,… more
- Corewell Health (Hudsonville, MI)
- …experience preferred + 2 years of relevant experience of clinical nursing and or case management/ managed care or related field Required How Corewell Health ... through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and external referrals… more