• Medical Claim Review Nurse ( RN )

    Molina Healthcare (Warren, MI)
    …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • RN Care Coordinator

    Corewell Health (Dearborn, MI)
    …care management , utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate… more
    Corewell Health (09/23/25)
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  • RN Care Coordinator

    Corewell Health (Royal Oak, MI)
    … management , utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire required ... of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate… more
    Corewell Health (08/25/25)
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  • RN Case Manager

    Trinity Health (Chelsea, MI)
    …Type:** Part time **Shift:** Rotating Shift **Description:** ** Registered Nurse ** **Case Manager** **Department:** Utilization Management **Location:** ... Trinity Health + Tuition Reimbursement **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support our vision and serve… more
    Trinity Health (09/03/25)
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  • RN Clinical Manager

    CenterWell (Portage, MI)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... sit on-site at our Portage, MI branch location.** The ** RN Clinical Manager** coordinates and oversees all direct care...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (09/06/25)
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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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  • RN Advanced Cardiopulmonary Care

    Corewell Health (Grand Rapids, MI)
    …+ Associates in Nursing Required + Bachelors in Nursing Required within 5 years + MI Registered Nurse ( RN ) Required + CRT-Basic Life Support (BLS) - AHA ... $10 per hour plus their base pay. If the RN is a full-time (3)12s a week RN...the opportunity to build a strong foundation in time management and develop their critical thinking skills in non-ICU… more
    Corewell Health (09/03/25)
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  • Hospice RN Executive Director

    Gentiva (Flint, MI)
    …Executive Director to join our leadership team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in hospice care, ... budgeting while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain strong relationships… more
    Gentiva (10/03/25)
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  • RN Transfer Center

    Corewell Health (Southfield, MI)
    …and direct admit process with patient coming from a variety of care settings. Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... the course of each transfer or direct admission. Has sufficient knowledge about utilization management and internal hospital operation. + Promotes a network with… more
    Corewell Health (09/26/25)
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  • RN Cardiac and Vascular Stepdown Unit

    Corewell Health (Grand Rapids, MI)
    …+ Associates in Nursing Required + Bachelors in Nursing Required within 5 years + MI Registered Nurse ( RN ) Required + CRT-Basic Life Support (BLS) - AHA ... $10 per hour plus their base pay. If the RN is a full-time (3)12s a week RN...disorders. 6 Heart nurses are skilled in peritoneal dialysis, utilization of Endotool for continuous insulin drip management… more
    Corewell Health (10/03/25)
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