• Clinical Reviewer , Nurse

    Evolent (Lansing, MI)
    …Join a mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization management team. We ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
    Evolent (08/19/25)
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  • Clinical Reviewer , Nurse -Surgery

    Evolent (Lansing, MI)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization management team. ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
    Evolent (08/19/25)
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  • Care Review Clinician, Prior Auth (RN) Pega…

    Molina Healthcare (MI)
    …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. Experience… more
    Molina Healthcare (07/12/25)
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  • Registered Nurse -Utilization Management…

    McLaren Health Care (Pontiac, MI)
    …/clinical assessment on all patients reviewed in the ED. Conducts initial review using InterQual, MCG and other tools, assists provider in correct admission ... status (IP, OBV, OP). Sends accounts to secondary reviewer as necessary. 2. Provides guidance to providers and...assigned. #LI-AK1 _Required_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in nursing from accredited… more
    McLaren Health Care (08/29/25)
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  • Registered Nurse Manager 13

    State of Michigan (Jackson, MI)
    Registered Nurse Manager 13 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/2364011) Apply  Registered Nurse Manager 13 Salary $40.18 - ... clinical supervisor of an inpatient unit. Responsibilities include participation in the review and development of nursing policies and procedures, approval of leaves… more
    State of Michigan (06/10/25)
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  • MDOC-Registered Nurse P11-12-Southern…

    State of Michigan (MI)
    MDOC-Registered Nurse P11-12-Southern Correctional Facilities Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4736719) Apply  MDOC-Registered ... Nurse P11-12-Southern Correctional Facilities Salary $34.65 - $49.15 Hourly...required to report any possible conflict of interest, please review the information and be prepared to respond to… more
    State of Michigan (08/20/25)
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  • Registered Nurse P11-12-DWH

    State of Michigan (Jackson, MI)
    Registered Nurse P11-12-DWH Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/2435166) Apply  Registered Nurse P11-12-DWH Salary $34.65 - ... a Gold-Level Veteran Friendly Employer here. Become a REGISTERED NURSE at the Duane Waters Health Center Why Work...required to report any possible conflict of interest, please review the information and be prepared to respond to… more
    State of Michigan (07/10/25)
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  • MDOC-Registered Nurse P11-12- Northern…

    State of Michigan (MI)
    MDOC-Registered Nurse P11-12- Northern Correctional Facilities Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4736737) Apply  MDOC-Registered ... Nurse P11-12- Northern Correctional Facilities Salary $34.65 - $49.15...required to report any possible conflict of interest, please review the information and be prepared to complete the… more
    State of Michigan (06/10/25)
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  • Registered Nurse 12

    State of Michigan (Grand Rapids, MI)
    Registered Nurse 12 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5057066) Apply  Registered Nurse 12 Salary $37.34 - $49.15 Hourly ... (CMS). The MDS must be completed by a Registered Nurse who compiles information into the MDS after assessment...with the current members in the facility and they review documentation, communicate with the member, family, and interdisciplinary… more
    State of Michigan (09/01/25)
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  • Advanced Practice Professional ( Nurse…

    University of Michigan (Ann Arbor, MI)
    Advanced Practice Professional ( Nurse Practitioner) D. Dan and Betty Kahn Health Care Pavilion: Cardiac Intensive Critical Care Area Apply Now **How to Apply** This ... this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at ###. **Required Qualifications ** Nurse Practitioners** +… more
    University of Michigan (08/29/25)
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