• Supervisor, Clinical Documentation Integrity (CDI)…

    Trinity Health (Livonia, MI)
    …specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work assignments ... Must possess one of the below: + Current Registered Nurse (RN) License + Registered Health Information Administrator (RHIA)...(CCS) + Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion… more
    Trinity Health (11/24/25)
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  • RN Med Surg

    Corewell Health (Reed City, MI)
    …surgical unit. This campus is the perfect place to gain experience as a new nurse and grow your career! The patient population in Reed City is very diverse, it ... team that includes hospitalists, care managers, social workers, pharmacy, nurse techs, physical therapists, and occupational therapists to provide quality… more
    Corewell Health (11/08/25)
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  • RN Navigator Ambulatory Rose Cancer Center

    Corewell Health (Royal Oak, MI)
    Ambulatory- Rose Cancer Center Part time- 20 hours a week Scope of Work: The Nurse Navigator will assess the patient's individual needs and develop a plan of care to ... planning for post-acute services, length of stay (LOS) management and utilization management; collaborating to include coordination as evidenced by metrics,… more
    Corewell Health (11/07/25)
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  • NP/PA - Ctvs/General Robotic

    Trinity Health (Ann Arbor, MI)
    …managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the NP/PA ... : Master's Degree in clinical nursing from an accredited Acute Care Nurse Practitioner Program with emphasis on area of certification/licensure. **NP Licensure** :… more
    Trinity Health (11/05/25)
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  • Assistant Manager Patient Care Services…

    McLaren Health Care (Lansing, MI)
    …accomplish the mission and vision of McLaren Greater Lansing through effective utilization of all resources, constantly striving to increase quality patient care and ... Monitors the process to ensure it is working. 2. Assists coordinator/contact nurse /staff with problems related to the functioning of the department, both… more
    McLaren Health Care (10/15/25)
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  • RN Mission Control Coordinator

    Corewell Health (Southfield, MI)
    …other departments by removing barriers to patient flow while increasing bed utilization . + Oversight of the day-to-day operations of Mission Control. Provide ... into, within and out of Corewell Health facilities and ensures effective utilization of resources. Evaluate, develop, and implement strategies to maximize system… more
    Corewell Health (12/17/25)
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  • Family Health Advocate - Remote

    Sharecare (Lansing, MI)
    …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending… more
    Sharecare (12/13/25)
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  • Payment Integrity Clinician

    Highmark Health (Lansing, MI)
    …itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education ... education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and… more
    Highmark Health (11/14/25)
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  • RN Neuro Spine

    Corewell Health (Grand Rapids, MI)
    …recovery. Additional unique skills that those hired to 3H will learn include utilization of the NIHSS Stroke Scale. About Blodgett Hospital Set within a quiet, ... practice and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes. How… more
    Corewell Health (11/14/25)
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  • Multi-Site Director Case Management

    Prime Healthcare (Port Huron, MI)
    …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs ... Preferred qualifications: 1. Healthcare professional licensure required as Registered Nurse , Licensed Clinical Social Worker (LCSW), or Licensed Social Worker… more
    Prime Healthcare (10/13/25)
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