• Director, Highly Integrated Dual Eligible Special…

    Corewell Health (Grand Rapids, MI)
    …across the enterprise (eg, Medical Directors, Quality Improvement, Utilization Management , Care Management , Medicare Product Development, Claims, Digital ... ensures that LTSS operations align with the integration of Medicare and Medicaid benefits under Michigan's HIDE SNP model,...timely HRAs. + Align LTSS operations with the plan's Quality Improvement Program and Care Management framework… more
    Corewell Health (06/11/25)
    - Related Jobs
  • RN Care Manager - DSNP

    Molina Healthcare (Dearborn, MI)
    …Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or behavioral health settings. ... For this position we are seeking a (RN) Registered Nurse who must live and have a current active...locality with reliable transportation. **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management more
    Molina Healthcare (08/29/25)
    - Related Jobs
  • RN Care Manager Remote with field travel in WA…

    Molina Healthcare (Detroit, MI)
    …Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or behavioral health settings. ... or locality with reliable transportation. **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management , disease… more
    Molina Healthcare (09/05/25)
    - Related Jobs
  • Transition of Care Coach (RN)

    Molina Healthcare (MI)
    **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote setting supporting ... our Medicare /Medicaid population who have recently been admitted into Hospital....productivity is important. Preferred candidates will have previous case management , managed care, hospital, and/or home health experience._ _This… more
    Molina Healthcare (08/17/25)
    - Related Jobs
  • Full-Time Home Health RN - Great Grand Rapids Area

    Trinity Health (Grand Rapids, MI)
    …Graduate of an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of practice. + Must have a minimum of one (1) ... More** . **Position Overview** As a Home Care Registered Nurse (RN) at Trinity Health At Home, you'll deliver...(RN) at Trinity Health At Home, you'll deliver one-on-one, high- quality care to patients in the comfort of their… more
    Trinity Health (09/06/25)
    - Related Jobs
  • House Supervisor RN

    Prime Healthcare (Port Huron, MI)
    …and supportive work environment. Responsibilities The House Supervisor is a Registered Nurse who assumes administrative responsibility for the management of all ... throughout the Blue Water Area. Raising the bar for quality health care, Lake Huron Medical Center received the...Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's… more
    Prime Healthcare (08/15/25)
    - Related Jobs
  • RN Clinical Manager

    CenterWell (Portage, MI)
    …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. +...transportation. + Two years as a Registered Nurse with at least one-year of management more
    CenterWell (09/06/25)
    - Related Jobs
  • Case Manager - Licensed Social Worker (PCS)

    Molina Healthcare (Detroit, MI)
    …LLMSW) in the state of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care Services team. This position will ... Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to… more
    Molina Healthcare (08/22/25)
    - Related Jobs
  • Intake Specialist, Michigan - McLaren Careers

    McLaren Health Care (Flint, MI)
    …including communication to the case managers. Works with the PCP, the member and management to promote the delivery of quality services at the most appropriate ... as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan...working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier… more
    McLaren Health Care (09/05/25)
    - Related Jobs
  • Full-Time Hospice RN Case Manager

    Trinity Health (Grand Haven, MI)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Registered Nurse Hospice Case Manager - Grand Haven** **Position Overview -** **Sign-On ... so that the services provided will improve the patient's quality of life and promote dignity. + Makes appropriate...that make a difference. + **Supportive Leadership ** Our management team is here to help you succeed every… more
    Trinity Health (08/13/25)
    - Related Jobs