• Care Review Clinician ( RN )

    Molina Healthcare (Grand Rapids, MI)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
    Molina Healthcare (12/13/25)
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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 ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
    Corewell Health (11/24/25)
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  • Care Review Clinician ( RN ) (Must…

    Molina Healthcare (Ann Arbor, MI)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (11/13/25)
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  • RN Clinical Manager

    CenterWell (Portage, MI)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (12/04/25)
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  • RN Heart Failure HF Navigator

    Corewell Health (St. Joseph, MI)
    …Nursing + 5 years of relevant experience previous nursing or CDE clinical experience + MI Registered Nurse ( RN ) + AHA or ARC Basic Life Support (BLS) within ... educational curricula/teaching strategies or makes appropriate referrals. Provides ongoing review and development of educational materials related to clinical… more
    Corewell Health (12/12/25)
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  • RN Wound, Ostomy, & Continence Team (WOC)

    Corewell Health (Grand Rapids, MI)
    …Required + 1 year of relevant experience relevant experience Clinical Nursing Preferred + LIC- Registered Nurse ( RN ) - STATE_MI State of Michigan Upon Hire ... (CH) West Wound, Ostomy, & Continence Team (WOC) is a program of registered nurses specially trained in caring for abdominal stomas, dermal wounds, pressure… more
    Corewell Health (12/06/25)
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  • Psych RN , Geriatric Inpatient

    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 ... the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing...assignments and promoting staff development. + Responsible for the utilization and continued review of patient care… more
    Pine Rest Christian Mental Health Services (11/08/25)
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  • Psych RN , Inpatient Float

    Pine Rest Christian Mental Health Services (Grand Rapids, MI)
    …Pine Rest (https://www.pinerest.org/addiction/treatments/inpatient-treatment-for-dual-diagnosis/) What Will You Do? As a Registered Nurse at Pine Rest, you'll be ... the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing...assignments and promoting staff development. + Responsible for the utilization and continued review of patient care… more
    Pine Rest Christian Mental Health Services (09/23/25)
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  • RN Case Manager - Clinical Res Mgmt

    Tenet Healthcare (Commerce Township, MI)
    …discharge planning experience. Preferred: Acute hospital case management experience. Required: RN . Must be currently licensed, certified, or registered to ... RN Case Manager - Clinical Res Mgmt -...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
    Tenet Healthcare (12/03/25)
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  • RN Case Management Cardiology - Congestive…

    Trinity Health (Muskegon, MI)
    …of care across the care continuum for patients. Facilitates appropriate resource utilization and review as medically necessary. Ensures efficient patient ... only, if nationally certified in Case Management. **Credentials/Licensure** Minimum: Current RN license in the State of Michigan. Preferred: Certification in Case… more
    Trinity Health (12/12/25)
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