• Clinical UM Nurse

    CenterWell (Lansing, MI)
    …our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
    CenterWell (11/12/25)
    - Related Jobs
  • RN UM Clinical Appeals Nurse

    Molina Healthcare (MI)
    **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services, length of stay and… more
    Molina Healthcare (11/14/25)
    - Related Jobs
  • RN UM Care Review Clinician Remote

    Molina Healthcare (Ann Arbor, MI)
    …**Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services ... are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members...intensive care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work Hours: Monday… more
    Molina Healthcare (11/13/25)
    - Related Jobs
  • Clinical Reviewer, Nurse (Medical…

    Evolent (Lansing, MI)
    …with clinical decision-making criteria sets (ie Milliman, InterQual) + UM Experience + Strong interpersonal, oral and written communication skills. + Possess ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
    Evolent (11/14/25)
    - Related Jobs
  • Registered Nurse - University Hospital…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE - University Hospital - Electroconvulsive Therapy (ECT)/ Ketamine Clinic Apply Now **Mission Statement** Michigan Medicine improves the health of ... $5.90 / hour + Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour The benefit package includes: + Excellent medical, dental and… more
    University of Michigan (11/13/25)
    - Related Jobs
  • Registered Nurse (Ambulatory Care- Ann…

    University of Michigan (Ann Arbor, MI)
    …Care- Ann Arbor Hemodialysis Unit) Apply Now **Job Summary** **Position Title** Clinical Nurse , In-Center Hemodialysis **Purpose** To provide nursing care and ... kidney injury (AKI) or end stage renal disease (ESRD). To maintain clinical expertise within this unique population requiring specialized renal therapies. To provide… more
    University of Michigan (11/12/25)
    - Related Jobs
  • Utilization Management Nurse Consultant

    CVS Health (Lansing, MI)
    …for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment and evidence-based criteria ... work. **Key Responsibilities** + Apply critical thinking and evidence-based clinical criteria to evaluate outpatient and inpatient services requiring… more
    CVS Health (11/13/25)
    - Related Jobs
  • Registered Nurse - Neonatal Nurse

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE - Neonatal Nurse Practitioner Internship (Brandon NICU and Von Voigtlander Women's Hospital) Apply Now **Job Summary** Qualified RN applicants ... career opportunity for current registered nurses who have graduated from an accredited Nurse Practitioner program with a Neonatal Specialty. By teaching a wide range… more
    University of Michigan (09/24/25)
    - Related Jobs
  • Registered Nurse : Cardiovascular Center…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : Cardiovascular Center (Cardiovascular Operating Room ) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, ... Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour The benefit package includes:...in the Cardiovascular Center operating rooms assigned under the clinical supervision of a Clinical Nursing Director.… more
    University of Michigan (10/28/25)
    - Related Jobs
  • Registered Nurse : University Hospital (5B…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : University Hospital (5B Medical/Surgical Unit) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and ... hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour The benefit package includes:...reflects the units commitment to patient safety, excellence in clinical care, teamwork, and shared leadership. Why work on… more
    University of Michigan (11/13/25)
    - Related Jobs