• RN Lead, Healthcare Services

    Molina Healthcare (Sterling Heights, MI)
    …care, and at least 2 years of managed care experienced in utilization management * Registered Nurse ( RN ) ONLY if required by state contract, regulation or ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
    Molina Healthcare (09/26/25)
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  • Transition of Care Coach ( RN ) (Pacific…

    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 ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific… more
    Molina Healthcare (09/14/25)
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  • RN Clinical Learning Facilitator based…

    Molina Healthcare (MI)
    …State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in ... we are seeking a candidate with an active unrestricted RN MI licensure and must reside in the state...board licensing mandate. + At least 2 years in case , disease or utilization management; managed care; or medical/behavioral… more
    Molina Healthcare (09/12/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Detroit, MI)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (09/26/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Warren, MI)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Care Coordinator

    AmeriHealth Caritas (Detroit, MI)
    …& Experience:** + A bachelor's degree in a health-related field and a current and unrestricted Registered Nurse ( RN ) license.; + Minimum of 1 year of social ... of professional practice experience required + Certification as a Case Manager or a Community Health Worker...Worker is preferred **Licensure:** + A current and unrestricted RN /SW licensure in Michigan.; + Valid driver's license with… more
    AmeriHealth Caritas (09/06/25)
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  • Clinical Nurse Manager / RN…

    AccentCare, Inc. (Madison Heights, MI)
    Overview Registered Nurse / RN Team Director , Hospice Location: Madison Heights, MI Position: Registered Nurse / RN Team Director Job ID: ... Find Your Passion and Purpose as a Full-Time Hospice Registered Nurse / RN Team...Pariticpates and promotes Back to Bedside efforts in reinforcing Case Management skills, and knowledge and attitude per protocol… more
    AccentCare, Inc. (09/18/25)
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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 ... manager , RN manager home health services, clinical management in home health,...supervisor, clinical manager for home health agency, registered nurse clinical supervisor, home health patient… more
    Gentiva (08/20/25)
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  • RN Clinical Manager

    CenterWell (Portage, MI)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... sit on-site at our Portage, MI branch location.** The ** RN Clinical Manager ** coordinates and oversees all...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (09/06/25)
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  • Senior Hospice Patient Care RN…

    Gentiva (Jackson, MI)
    …Medicare, Medicaid, JCAHO, ACHC **About You** **Qualifications - What You'll Bring:** + Current Registered Nurse ( RN ) license in the state of employment + ... manager , patient care manager senior, hospice leadership jobs, RN leadership, home-based care oversight, hospice case management, Gentiva careers ReqID:… more
    Gentiva (09/26/25)
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