• Clinical Learning Facilitator - Utilization…

    Molina Healthcare (Grand Rapids, MI)
    …or state board licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One ... or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care… more
    Molina Healthcare (09/17/25)
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  • Registered Nurse , 24 Hrs Weekly,…

    Pine Rest Christian Mental Health Services (Grand Rapids, MI)
    …successful reintegration into home, school, and community settings. What Will You Do? As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that ... are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main...the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing… more
    Pine Rest Christian Mental Health Services (08/09/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Sterling Heights, MI)
    …least 2 years of managed care experienced in utilization management * Registered Nurse ( RN ) ONLY if required by state contract, regulation or state ... 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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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Ann Arbor, MI)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
    Molina Healthcare (09/05/25)
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  • RN , Geriatric Acute Mental Healthcare

    Pine Rest Christian Mental Health Services (Grand Rapids, MI)
    …Pine Rest (https://www.pinerest.org/inpatient-services/services/older-adult-inpatient-services/) What Will You Do? As a Registered Nurse at Pine Rest, you'll be ... are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main...for dementia, depression and anxiety, as well as medication management . Families often suffer along with their older relatives,… more
    Pine Rest Christian Mental Health Services (08/09/25)
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  • RN Supervisor

    Corewell Health (St. Joseph, MI)
    …Shared Leadership position, Magnet Champion, QSO) (based on Spectrum Health entity) Preferred. + MI Registered Nurse ( RN ) Required. + AHA or ARC Basic Life ... mixed ICU managing adult surgical, trauma, neuro, medical, and cardiothoracic/vascular patients. Nurse to patient ratio is 1:2 and adjusted for acuity throughout the… more
    Corewell Health (07/31/25)
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  • RN Case Manager (Hybrid) - SNP Special…

    Henry Ford Health System (Troy, MI)
    RN CASE MANAGER (HYBRID) - SNP SPECIAL NEEDS...Alliance Plan (HAP) is looking to grow our Case Management Team with experienced Registered Nurses! In ... this role, you will oversee Case Management for our Chronic-Special Needs Program (C-SNP) and Dual-Special...one time. Our team is made up of seasoned Registered Nurses and additional support staff. We are a… more
    Henry Ford Health System (09/20/25)
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  • Disease Management Nurse - Remote

    Sharecare (Lansing, MI)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
    Sharecare (09/13/25)
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  • Care Review Clinician, Prior Authorization

    Molina Healthcare (Ann Arbor, MI)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
    Molina Healthcare (09/18/25)
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  • Manager, Healthcare Services

    Molina Healthcare (MI)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational… more
    Molina Healthcare (09/27/25)
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