• Care Review Clinician

    Molina Healthcare (Detroit, MI)
    For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/01/25)
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  • Care Review Clinician

    Molina Healthcare (Grand Rapids, MI)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... emergency room. Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
    Molina Healthcare (11/03/25)
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  • Care Review Clinician

    Molina Healthcare (Sterling Heights, MI)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
    Molina Healthcare (10/17/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Detroit, MI)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (10/26/25)
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  • Supervisor ( RN or Master-Level…

    Common Ground (Bingham Farms, MI)
    …occasionally within the community Qualifications Licensure + Active, unrestricted Michigan license as a Registered Nurse ( RN ) in the state of Michigan OR ... area emergency departments and other emergency responders, Behavioral Health Urgent Care (BHUC), and other local crisis providers. Additionally, this position will… more
    Common Ground (10/29/25)
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  • Utilization Management Clinician

    CVS Health (Lansing, MI)
    …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills and… more
    CVS Health (11/01/25)
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  • RN - Quality Improvement Specialist

    University of Michigan (Ann Arbor, MI)
    RN - Quality Improvement Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first ... that directly relate to this position. **Job Summary** Are you an experienced clinician with a passion for quality improvement? If you thrive in a fast-paced,… more
    University of Michigan (10/31/25)
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  • ASSURE Patient Specialist - Flint/Midland, MI (Per…

    Kestra Medical Technologies, Inc (Flint, MI)
    …+ Knowledge of MS Office, Excel, PowerPoint, MS Teams + Direct cardiac patient care experience - RN , RT, CVIS, Paramedic, CRM WORK ENVIRONMENT + Variable ... comfort and dignity. Innovating versatile new ways to deliver care , Kestra is helping patients and their care...the patient to determine the correct garment size + Review and transmit essential paperwork with the patient to… more
    Kestra Medical Technologies, Inc (10/30/25)
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