• 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 (08/08/25)
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  • Manager , Care Management

    Humana (Lansing, MI)
    …in Michigan and be able to travel to Wayne County or Macomb County.** + **Active Registered Nurse ( RN ) license or Social Work (SW) license in the state ... RN or Social Worker to include experience in case and/or disease management + Minimum 2 years of...to be screened for TB.​ **Preferred Qualifications** + Certified Case Manager (CCM) + Previous experience working… more
    Humana (06/28/25)
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  • Operations Manager , VBCM- Remote

    Sharecare (Lansing, MI)
    …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree ... role include directly leading and managing teams of Care Managers , providing guidance and supervision, as well as supporting...Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and… more
    Sharecare (07/30/25)
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  • Care Manager

    AmeriHealth Caritas (Southfield, MI)
    …Valid driver's license and car insurance. + Current and unrestricted Registered Nurse licensure. + Eligible to sit for Case Management certification after 12 ... **Role Overview:** The Care Manager is responsible for managing and coordinating care,...years of clinical experience at the bedside (as a Registered Nurse ) working with medically fragile patients… more
    AmeriHealth Caritas (07/27/25)
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  • Care Manager

    AmeriHealth Caritas (Southfield, MI)
    …Health preferred + 3+ years of clinical experience at the bedside (as a Registered Nurse ) working with medically fragile patients in an acute care, home ... within a managed care organization, desired. **Licensure** + Current and unrestricted Registered Nurse licensure + Valid driver's license and car insurance.… more
    AmeriHealth Caritas (07/10/25)
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  • Program Manager , HCS

    Molina Healthcare (Ann Arbor, MI)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (08/02/25)
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  • Nurse Care Manager - Trinsic

    Intermountain Health (Lansing, MI)
    …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position level. + 2 years' nursing experience outpatient care. + 1… more
    Intermountain Health (08/08/25)
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  • Licensed Practical Nurse LPN Home Health…

    Elara Caring (Monroe, MI)
    …direction of a Registered Nurse or physician. + Collaborate with the RN Case Manager during normal business hours for advice, assistance, and ... in the Right Place. **Job Description:** **Licensed Vocational/ Practical Nurse Hourly** At Elara Caring, we care where you...problems and changes in condition or environment to the RN Case Manager , the physician,… more
    Elara Caring (08/08/25)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Lansing, MI)
    …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5… more
    Prime Therapeutics (07/24/25)
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  • Social Worker LMSW Care Manager

    Corewell Health (Reed City, MI)
    …Health West Ambulatory Care Management Department is made up of Social Workers, RN Care Managers , Community Health Workers and Medical Assistants. We have ... a large team of Social Workers and RN Care Managers who are embedded in...continuum. + Assesses and provides follow-up for the Systematic Case Review process which includes consultation with psychiatrist and… more
    Corewell Health (07/11/25)
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