• Care Manager , Ltss

    Molina Healthcare (Dearborn, MI)
    For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state of MI. This ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (10/18/25)
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  • RN Medical Review Nurse Remote

    Molina Healthcare (Grand Rapids, MI)
    …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The...LTSS ) issues. + Identifies and reports quality of care issues. + Assists with complex claim review including… more
    Molina Healthcare (12/03/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (MI)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...LTSS ) issues. * Identifies and reports quality of care issues. * Prepares and presents cases in conjunction… more
    Molina Healthcare (11/14/25)
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