• RN Provider Appeals Coordinator…

    Henry Ford Health System (Troy, MI)
    …Alliance Plan (HAP) is looking to grow our Medical Appeals Team with an experienced Registered Nurse ! We are a team of Registered Nurses (3 and counting) ... and Utilization Review Coordinators (4) that review appeals for medical necessity using established...Microsoft Word. Excel and Access preferred. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse ( RN ) with current… more
    Henry Ford Health System (12/23/25)
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  • Clinical Registered Nurse…

    Cognizant (Lansing, MI)
    …expectations. **What you need to have to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...Maintain working knowledge of applicable health insurers' internal claims, appeals , and retro-authorization as well as timely filing deadlines… more
    Cognizant (12/23/25)
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  • Registered Nurse Utilization…

    McLaren Health Care (Port Huron, MI)
    …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... **Department:** Utilization Review **Daily Work Times:** 8:00am-4:30pm **Hours Per Pay...participates in the resolution of retrospective reimbursement issues including appeals , PACER authorization, third party payer certification, and denied… more
    McLaren Health Care (11/12/25)
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  • Utilization Rev Appeals Spec

    University of Michigan (Ann Arbor, MI)
    Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and ... knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain compliance… more
    University of Michigan (12/13/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Detroit, MI)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... Looking for a RN with experience with appeals , claims review , and medical coding. JOB...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/23/25)
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  • RN Care Coordinator

    Corewell Health (Royal Oak, MI)
    …in care management, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire ... Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2. Responsible for managing… more
    Corewell Health (11/04/25)
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