• Clinical Appeals Nurse (RN)

    Molina Healthcare (Ann Arbor, MI)
    …Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied… more
    Molina Healthcare (08/15/25)
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  • Contingent/PRN Registered Nurse , RN…

    Trinity Health (Grand Haven, MI)
    …intervention, and overall supervision of client care and outcomes, is designated as the case manager for hospice patients. The Hospice RN in collaboration with ... requested by the client/family, and in compliance with the state's Nurse Practice Act, any applicable licensure/certification requirements, and the organization's… more
    Trinity Health (08/13/25)
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  • Full-Time After-Hours Hospice Registered…

    Trinity Health (Grand Haven, MI)
    …Overview** ** ** ** ** - **$10** **,000 Sign-On Bonus ** As a Hospice RN Case Manager at Trinity Health At Home, you'll deliver one-on-one, high-quality care to ... ** ** **Benefits Highlights** ** ** ** ** + Medical , dental and vision insurance starting Day One +...home, offering skilled nursing, therapy (physical, occupational, speech) and medical social work. We are Medicare-certified and accredited by… more
    Trinity Health (07/12/25)
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  • RN Field Care Manager

    Humana (Lansing, MI)
    …part of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied...health issues. **Position Responsibilities:** + The RN Field Care Manager will be responsible for managing a case more
    Humana (08/09/25)
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  • RN - Care Manager - Pediatrics

    Molina Healthcare (Ann Arbor, MI)
    …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... _For this position we are seeking a (RN) Registered Nurse who must live and have a current active...Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical more
    Molina Healthcare (06/26/25)
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  • RN Care Manager - DSNP

    Molina Healthcare (MI)
    …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... For this position we are seeking a (RN) Registered Nurse who must live and have a current active...Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical more
    Molina Healthcare (08/23/25)
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  • Home Health Patient Care RN Manager

    Gentiva (Midland, MI)
    … home health, clinical manager home health nursing, home health RN clinical manager , registered nurse clinical manager , home health care clinical ... services, clinical management in home health, home health nursing supervisor, clinical manager for home health agency, registered nurse clinical supervisor, home… more
    Gentiva (08/20/25)
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  • RN Care Manager

    Corewell Health (Zeeland, MI)
    …Life Support (BLS) - ARC American Red Cross Ambulatory Care Management 90 Days required + Case Manager , Certified (CCM) - CCMC Commission for Case Manager ... 2 years of relevant experience clinical nursing and or case management/managed care or related field Required + 5...management/managed care or related field Preferred + MI Registered Nurse (RN) Required + Basic Life Support (BLS) -… more
    Corewell Health (08/19/25)
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  • Operations Manager , VBCM- Remote

    Sharecare (Lansing, MI)
    …years' experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical ... **Job Description:** **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical...variety of areas such as integration activities, audits, and case management in collaboration with the Director. + Provide… more
    Sharecare (07/30/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Lansing, MI)
    …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
    Humana (08/22/25)
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