- Corewell Health (Southfield, MI)
- …assigned clinical and program services and staff. Ensures appropriate supervision and case consultation for clinical and non -clinical staff including overseeing ... staff development. Supervises within established clinical quality standards and quality management plan protocols. Essential Functions + Supervises the activities of… more
- Sharecare (Lansing, MI)
- …to Clinical Advocates ( Nurse ) for conditions that require clinical care and case management assistance + Primary duties include but are not limited to: ... during the training period will be evaluated on a case by case basis and must be...plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical,… more
- Datavant (Lansing, MI)
- …quality, compliance assessments, external payer reviews, coding education, interim coding management , and coding workflow operations reviews. In this role, you will ... and appropriate coding references for accurate DRG and APC assignment. + Review non -CC/MCC records to assess proper coding or identify the need for additional… more
- Common Ground (Bingham Farms, MI)
- … case records + Work collaboratively with police, hospitals, group homes, all case management entities, and other providers in the community + Provide monthly ... with federal, state, county, and agency regulations governing Targeted Case Management and the delivery of specialty...Licensure + Active, unrestricted Michigan license as a Registered Nurse (RN) in the state of Michigan OR Master… more
- Corewell Health (Grand Rapids, MI)
- … nursing or a healthcare related field + 3 years of relevant experience clinical nursing and or case management /managed care or related field Required + ... at the right time. Demonstrates expertise, current knowledge in nursing care and management of a sub...Workday team member account. This career site is for Non -Corewell Health team members only. Corewell Health is committed… more
- 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 ... continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of reduced readmissions.… more
- Grace Health (Battle Creek, MI)
- …all other advance practice nurses, if applicable. 3. Provides direct patient care, case management , consultation and collaboration with other team members in the ... consults for and collaborates in patient care with advanced nurse practitioners and certified nurse midwives, as...educational settings and experiences for the practice of medicine, nursing and health related fields. 9. Participates in quality… more
- Tenet Healthcare (Detroit, MI)
- …applicable. 3. Three years of clinical experience. 4. Case management certification preferred. Job : Non -Clinical/Administrative Primary Location : ... regarding medical necessity, inappropriate utilization of resources or quality issues to management and to a physician advisor. Identifies non -acute days or… more
- City of Detroit (Detroit, MI)
- …violence, substance use, etc.) with dispositions and recommendations that are included in case management . Provides referral to mental health and substance use ... Opening Date 09/26/2025 Closing Date 11/23/2025 11:59 PM Eastern Bargaining Unit 9000- Non Union Salary Regular Service General + Description + Benefits + Questions… more
- Corewell Health (St. Joseph, MI)
- …IRB documents; institutes protocol operations (generation of data collection tools, case report forms); attends study meetings. + Identifies, recruits, screens, ... updates to meet the identified needs of physician investigators, nursing staff, program staff, patients, family and/or the community....in a health or science related field + LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire… more