• RN Utilization Management

    Corewell Health (Southfield, MI)
    …degree. + Preferred Bachelor's Degree in nursing or related field. + Hospital utilization review / utilization management experience. Preferred + Clinical ... Scope of Work This role includes accountability for utilization review (UR) and may include...2 years of experience in clinical/hospital setting. Required + Registered Nurse ( RN ) - State… more
    Corewell Health (07/31/25)
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  • RN Case Manager: University Hospital (Care…

    University of Michigan (Ann Arbor, MI)
    …as Allscripts + Participate in venues to reduce barriers to discharge ** Utilization Review and Utilization Management ** + Conduct clinical review on ... RN CASE MANAGER: University Hospital (Care Management...is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a… more
    University of Michigan (08/08/25)
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  • Complex Care - Registered Nurse Case…

    Henry Ford Health System (Detroit, MI)
    …+ Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of ... available for qualified experienced candidates with current 2 years RN Case Management in a large acute...work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
    Henry Ford Health System (05/20/25)
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  • RN Care Coordinator

    Corewell Health (Royal Oak, MI)
    …, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire required ... all hospitalized patients. 1. Identifies patients that need care management services (ie utilization review ;...accredited school of nursing. + Preferred Will consider non-BSN RN if actively pursuing a bachelor's degree in nursing… more
    Corewell Health (08/08/25)
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  • Registered Nurse Utilization

    McLaren Health Care (Pontiac, MI)
    …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing from accredited ... needs in EMR for continued communication with ICM UM RN and Care Management staff 7. Assesses..._Preferred:_ + Bachelor's degree in nursing + Experience in utilization management /case management /clinical documentation, critical… more
    McLaren Health Care (08/08/25)
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  • RN Care Coordinator

    Corewell Health (Dearborn, MI)
    management , utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... all hospitalized patients. + Identifies patients that need care management services (ie utilization review ;...accredited school of nursing. + Required Will consider non-BSN RN if actively pursuing a Bachelors degree in nursing… more
    Corewell Health (08/08/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Grand Rapids, MI)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing....Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more
    Molina Healthcare (08/08/25)
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  • Care Review Clinician, PA ( RN

    Molina Healthcare (Detroit, MI)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing....Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more
    Molina Healthcare (07/17/25)
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  • Registered Nurse RN - Case…

    Trinity Health (Howell, MI)
    …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
    Trinity Health (07/22/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Romulus, MI)
    …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
    Fresenius Medical Center (06/28/25)
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