• Manager, Healthcare Services

    Molina Healthcare (MI)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (09/27/25)
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  • Clinical Reviewer, Nurse - Cardiology

    Evolent (Lansing, MI)
    …**Qualifications Required and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + Associate or Bachelors in Nursing (Must ... , you will be a key member of the utilization management team. We can offer you a meaningful...be a Registered Nurse ) - **Required** + You must...be a Registered Nurse ) - **Required** + You must be able to… more
    Evolent (09/28/25)
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  • Care Manager II

    AmeriHealth Caritas (Detroit, MI)
    …required. + Bachelor of Science in Nursing preferred. + Current, active, and unrestricted Registered Nurse licensure. + 3 or more years of clinical experience at ... in the electronic care management platforms. + Monitor appropriate utilization and coordinate services with other payer sources, make...the bedside (as a Registered Nurse ) working with medically fragile patients… more
    AmeriHealth Caritas (08/27/25)
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  • Coordinator Patient Care

    Munson Healthcare (Traverse City, MI)
    REQUIREMENTS: Registered Nurse in the State of Michigan. Minimum of 2 years of relevant experience, 2 years in the specialty area preferred. A BSN is required ... and human resource data to support decision-making, which maximizes resource utilization . Facilitates and empowers registered nurses to assume accountability… more
    Munson Healthcare (07/24/25)
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  • Patient Care Manager - Full Time (32 Hours/Week)

    Munson Healthcare (Traverse City, MI)
    …degree in nursing (must have RN license or social work license). If Registered Nurse , must be licensed to practice in Michigan. Also, for those hired ... service/interpersonal skills at all times. + Maintains working knowledge/experience in utilization management, managed care, and payer issues that may impact the… more
    Munson Healthcare (09/19/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Grand Rapids, MI)
    …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
    Molina Healthcare (09/20/25)
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  • Director Patient Care Services Obstetrics

    Corewell Health (St. Joseph, MI)
    …clinical and/or diagnostic experience in a leadership role in the related field. Required + LIC- Registered Nurse ( RN ) - State of Michigan Upon Hire required ... staff meet or exceed mandatory annual in-services, certification, system utilization goals, service and quality improvement initiatives, and educational advancement… more
    Corewell Health (09/17/25)
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  • Graduate Nurse , Med/Surg

    Corewell Health (Big Rapids, MI)
    …+ Associates in Nursing Required + Bachelors in Nursing Required within 5 years + MI Registered Nurse ( RN ) Required + AHA or ARC Basic Life Support (BLS) ... the perfect place to gain experience as a new nurse and grow your career! The patient population in...include managing medication drips (insulin, vasopressors, etc.) and the utilization of equipment such as ventilators and BIPAPs. Big… more
    Corewell Health (08/11/25)
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  • Coordinator Patient Care

    Munson Healthcare (Traverse City, MI)
    ENTRY REQUIREMENTS Current license as a Registered Nurse in the State of Michigan. Minimum of 2 years of relevant experience, 2 years in the specialty area ... and human resource data to support decision-making, which maximizes resource utilization . Facilitates and empowers registered nurses to assume accountability… more
    Munson Healthcare (07/16/25)
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  • Disease Management Nurse - Remote

    Sharecare (Lansing, MI)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (09/13/25)
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