• Supervisor, Clinical Documentation Integrity (CDI)…

    Trinity Health (Livonia, MI)
    …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position At the direction of the Regional Manager, Clinical Documentation ... to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible for scheduling...direct reports perform clinical validation as part of the review process and remain current on CDI strategies. Maintains… more
    Trinity Health (08/26/25)
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  • Regional Manager, Clinical Documentation Integrity…

    Trinity Health (Livonia, MI)
    …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position Responsible for directing Clinical Documentation Integrity (CDI) activities ... to enhance clinical and coding skill sets and optimal utilization of 3M CDI software. Analyzes data to determine...direct reports perform clinical validation as part of the review process and remain current on CDI strategies. Uses… more
    Trinity Health (10/08/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (MI)
    …who must be licensed for the state they reside This role will be doing Utilization review for our Ohio Medicaid population, looking for clinicians with strong ... 8 AM to 5 PM EST This is a Remote position, home office with internet connectivity of high...DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are… more
    Molina Healthcare (11/21/25)
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  • RN Case Manager: University Hospital (Care…

    University of Michigan (Ann Arbor, MI)
    …position is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a balance ... + Participate in venues to reduce barriers to discharge ** Utilization Review and Utilization Management**...Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour The benefit package includes:… more
    University of Michigan (11/12/25)
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  • RN Clinical Manager

    CenterWell (Grand Rapids, MI)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... Location** : Grand Rapids, MI **This is not a remote or work-from-home position. This position requires you to...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
    CenterWell (10/31/25)
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  • RN Referral Management Coordinator (Virtual)…

    Henry Ford Health System (Troy, MI)
    …Full Time Benefit Eligible Schedule: Monday through Friday, 8:00AM to 4:30PM, Remote GENERAL SUMMARY: Unit Description: Health Alliance Plan (HAP) is looking to ... Nurses (5 and counting), and Administrative Professionals (3) that review medical necessity and medical criteria for all prior...the time of the denial and distributes to the Utilization Management Services staff for processing. + Reports on… more
    Henry Ford Health System (11/18/25)
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  • Patient Services Associate

    University of Michigan (Ann Arbor, MI)
    …process. + Coordinate and expedite patient transfer to inpatient unit by utilization of MiChart and paging in collaboration with ABCC, nursing (inpatient/ED), and ... ensuring continuity of care for ED patients. + Monitor nurse call system responding to patient requests for assistance...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more
    University of Michigan (11/15/25)
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