• Clinical Reviewer, Nurse - Cardiology

    Evolent (Lansing, MI)
    …As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts...and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + Associate or Bachelors… 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 ... accurate documentation of member interactions in the electronic care management platforms. + Monitor appropriate utilization and...the bedside (as a Registered Nurse ) working with medically fragile patients… more
    AmeriHealth Caritas (08/27/25)
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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 ... skills at all times. + Maintains working knowledge/experience in utilization management , managed care, and payer issues...progress of completing complex post-acute services + Interface with utilization review specialists to stay current on… more
    Munson Healthcare (09/19/25)
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  • Supervisor, Clinical Documentation Integrity (CDI)…

    Trinity Health (Livonia, MI)
    …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... as it relates to reimbursement and other clinical data quality management for colleague training. Provides quality and productivity monitoring; coordinates and… more
    Trinity Health (08/26/25)
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  • Administrative Supervisor - PRN Night Shift

    Munson Healthcare (Traverse City, MI)
    …REGISTRATION Min/Preferred Certification, Licensure, Registration Comments Minimum Licensed as a Registered Nurse in the State of Michigan OTHER REQUIREMENTS ... will be required to be in the role. Preferred Additional education in management principles and teaching is preferred. Preferred Graduate Degree MSN Required 5… more
    Munson Healthcare (09/23/25)
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  • APP Manager, Medical Specialties (Pulm, IM, Family…

    Corewell Health (Royal Oak, MI)
    …required. Nurse Practitioner Candidate: + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State ... you join our team at Corewell Health. Job Summary Responsible for the management of reporting APPs and APP supervisors including all activities related to direct… more
    Corewell Health (07/22/25)
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  • Unit Clerk Progressive Care & Step Down

    Trinity Health (Livonia, MI)
    … and trouble shooting + Makes a manual requisition for patient orders for Registered Nurse approval during emergencies, codes and downtime. + Maintains unit ... access, retrieve and print reports from Quest/Vista. + Obtain, review and correct errors per error report(s) or upon...or upon request. + Refer to the Department Charge Management Manual for authoritative and department specific processes and… more
    Trinity Health (09/19/25)
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  • Licensed Vocational Nurse (Michigan)

    CVS Health (Lansing, MI)
    …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... impact on our members, who are enrolled in Care Management and present with a wide range of complex...or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments… more
    CVS Health (09/18/25)
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  • Public Health Nurse

    Allegan County (Allegan, MI)
    …vaccine administration, lab draws, culture and urine collection. Education: -Licensed Practical Nurse (LPN) or Associates Degree RN required -Bachelor's Degree ... makes appropriate referrals, utilizing resources + Provides comprehensive case management and coordinates services provided through a multidisciplinary approach… more
    Allegan County (09/13/25)
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  • Nurse Case Manager II

    US Tech Solutions (MI)
    …compliance with regulatory and accreditation guidelines and company policies and procedures **Skills:** + Utilization review + RN + Assure care + Clinical ... + Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines… more
    US Tech Solutions (07/31/25)
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