• Clinical Appeals Nurse ( RN )

    Molina Healthcare (Ann Arbor, 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 (08/15/25)
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  • Utilization Management Assistant

    University of Michigan (Ann Arbor, MI)
    …numbers, etc. 3. Obtain authorization for services from third party payers and notify RN Case Manager of issues with authorizations 4. Enter authorization ... patient status 8. Answer departmental phones/messages and distribute to RN Case Managers mindful of coverage assignments....coverage. Hours are 9:00am to 5:30pm **Modes of Work** Positions that are eligible for hybrid or mobile/remote work… more
    University of Michigan (08/15/25)
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  • RN Field Care Manager

    Humana (Lansing, MI)
    …: care management, hospice, home health or equivalent environment + **Active Michigan Registered Nurse ( RN ) license with no disciplinary action** + ... psycho-social health issues. ** Position Responsibilities:** + The RN Field Care Manager will be responsible...your skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or… more
    Humana (08/09/25)
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  • Transitions of Care (TOC) RN Care…

    Somatus (Detroit, MI)
    …teammates physical and mental well-being + Community engagement opportunities + And more! The RN Transition of Care RN Manager is a critical member ... gaps in care and barriers to good health; the RN TOC Manager is expected to conduct...coordinating care across multiple settings + Current, unrestricted compact Registered Nurse license + Valid BLS certification… more
    Somatus (08/13/25)
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  • Home Health Nurse (Full-Time) POD 2…

    Trinity Health (Livonia, MI)
    …assessment and care plan development in collaboration with the Population Health Case Manager . Provides functional support/supervision to Home Healthcare Aides ... On Bonus:** 15K **Coverage Region:** Jackson, Grass Lake, Manchester ** Position Purpose:** Our Home Care RNs (Primary Care Nurses)...an approved Nursing education program, BSN preferred. + Current Registered Nurse licensure in the state of… more
    Trinity Health (07/01/25)
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  • Performance Monitor Specialist, Clinic

    Centene Corporation (Lansing, MI)
    …and Certifications:** A license in one of the following is required: Licensed Registered Nurse ( RN ), Licensed Clinical Social Worker (LCSW), Licensed ... Health Counselor (LMHC), or Licensed Marital and Family Therapist (LMFT). Certified Case Manager (CCM) preferred.Pay Range: $55,100.00 - $99,000.00 per year… more
    Centene Corporation (07/27/25)
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  • Nurse Liaison

    Hospice of Michigan (Ann Arbor, MI)
    …the patient and family in meeting nursing and related needs. + Acts as case manager and assumes responsibility to coordinate patient care for assigned caseload. ... Works with the Director of Marketing and the clinical manager on targeting and growing referrals and admissions. +...acute care experience in an institutional setting desirable. + RN license in the State of Michigan and maintains… more
    Hospice of Michigan (07/05/25)
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  • RN Lead, HCS (Clinical) Remote with field…

    Molina Healthcare (Detroit, MI)
    …Care Plan compliance. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ... - Friday 8:00 AM to 5:00 PM EST Remote position with 25% field travel MA RN ...management experience. **Preferred License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (08/15/25)
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  • Hospice Licensed Practical Nurse /LPN

    Trinity Health (Grand Haven, MI)
    …plan of care as prescribed by the physician and assigned by the supervising registered nurse . These nursing activities are limited to those in compliance with ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Position Overview** As a Hospice LPN at Trinity...in a timely manner, to the client's physician and/or Case Manager /designee and obtains orders for changes… more
    Trinity Health (08/13/25)
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  • Full-Time Home Health LPN

    Trinity Health (Muskegon, MI)
    …plan of care as prescribed by the physician and assigned by the supervising registered nurse . These nursing activities are limited to those in compliance with ... **Employment Type:** Full time **Shift:** **Description:** ** Position Purpose:** Our LPNs provide skilled nursing care...in a timely manner, to the client's physician and/or Case Manager /designee and obtains orders for changes… more
    Trinity Health (06/23/25)
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