• Clinical Registered Nurse…

    Cognizant (Lansing, MI)
    …have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with ... **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (11/15/25)
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  • Registered Nurse , ER, RN…

    ChenMed (Detroit, MI)
    …We're rapidly expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage directional ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
    ChenMed (11/08/25)
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  • Registered Nurse : University…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : University Hospital (9C Adult Psychiatry Unit) Apply Now **Job Summary** The Adult Inpatient Psychiatry Unit (9C) offers inpatient diagnostic ... emphasize coordinating these recommendations with ongoing or subsequent psychiatric management . Patients also may be invited to participate in...Eighteen (18) months of recent psych experience as a Registered Nurse NOTE: In order to be… more
    University of Michigan (11/15/25)
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  • * RN Coordinator- Utilization…

    Henry Ford Health System (Warren, MI)
    …screening criteria and critical thinking to maximize reimbursement. EDUCATION/EXPERIENCE REQUIRED: + Registered Nurse required. + Minimum 3-5 years of clinical ... required. + Bachelor of Science Nursing required OR four (4) years Case Management / Appeal/ Utilization Management experience in lieu of bachelor's degree.… more
    Henry Ford Health System (09/25/25)
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  • RN Utilization Management…

    Corewell Health (Grand Rapids, MI)
    …clinical nursing and or case management /managed care or related field Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... pm Every other Sat/Sun 8:00 am to 12:00 pm ( remote ) About Helen DeVos Children's Hospital We fight for...the state of Michigan. Manage all components of referral management , admission waiting list, insurance prior authorizations, continuous stay… more
    Corewell Health (11/04/25)
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  • Utilization Management Nurse

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license,… more
    Humana (11/13/25)
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  • Utilization Management Nurse…

    CVS Health (Lansing, MI)
    … solutions that promote high-quality healthcare for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant, where you'll ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
    CVS Health (11/13/25)
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  • Utilization Management Nurse

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
    Humana (11/16/25)
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  • RN UM Clinical Appeals Nurse…

    Molina Healthcare (MI)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports… more
    Molina Healthcare (11/14/25)
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  • RN Care Review Clinician Remote

    Molina Healthcare (Ann Arbor, MI)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical...member care. The candidate must have Medicare Appeals and/or Utilization Management knowledge. Work hours are Monday-Friday… more
    Molina Healthcare (11/09/25)
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