• RN Education Specialist

    Henry Ford Health System (Detroit, MI)
    …direction and consultation to Case Managers, clerical staff, and departmental management. EDUCATION /EXPERIENCE REQUIRED: + Registered Nurse ( RN ) with ... GENERAL SUMMARY: Under the direction of the department director, the Education Specialist assesses, designs, and evaluates cost-effective, customer-oriented,… more
    Henry Ford Health System (08/07/25)
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  • Registered Nurse - RN Field…

    Humana (Detroit, MI)
    …2** **years experience in health care and/or case management** + **Active Michigan Registered Nurse ( RN ) license with no disciplinary action** + **Must ... skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or Clinical Nurse Specialist with** **a minimum of… more
    Humana (10/02/25)
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  • Clinical Care Transition Specialist

    Option Care Health (Grand Rapids, MI)
    …performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse ( RN ) or licensed Pharmacist in the state ... and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to… more
    Option Care Health (09/17/25)
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  • Case Manager Registered Nurse

    McLaren Health Care (Flint, MI)
    We are looking for a Case Manager, RN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... in the medical management of members in assigned product lines, including case specific and disease management programs, including catastrophic cases. Works with the… more
    McLaren Health Care (09/22/25)
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  • Case Management Specialist

    Sedgwick (Lansing, MI)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Case Management Specialist This person must live in Ohio in order to be ... and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. ** EDUCATION AND LICENSING** Current unrestricted RN license(s) in a state… more
    Sedgwick (10/03/25)
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  • Clinical Quality Nurse Specialist

    Hospice of Michigan (Kalamazoo, MI)
    …every time, 100% of the time. Qualifications: + Bachelor of Science in Nursing preferred. Registered Nurse ( RN ) licensure in the State of Michigan required. ... the mission of NorthStar Care Community. The Clinical Quality Nurse Specialist is responsible, through monitoring and...to five (5) years of demonstrated experience in Hospice RN case management required. + Advanced knowledge… more
    Hospice of Michigan (08/09/25)
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  • Clinical Documentation Specialist

    Ascension Health (Stephenson, MI)
    …Certification / Registration: + One or more of the following required: + Licensed Registered Nurse credentialed from the Wisconsin Board of Nursing or current ... **Details** + **Department:** Case Management + **Schedule:** Full-time, 1.0 Salaried +...on factors including, but not limited to, experience, skills, education , performance, location and salary range at the time… more
    Ascension Health (09/30/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Warren, MI)
    …License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred Education ** Bachelor's Degree ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (10/04/25)
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  • Point of Use Specialist - Fulltime - Days…

    Henry Ford Health System (West Bloomfield, MI)
    GENERAL SUMMARY: The Point of Use Specialist will have overall ownership and accountability for supporting the procedural case cart picking function and proper ... procedures/services assigned. The focus for this position will be to conduct the case cart picking function for procedural supplies in the Operating Room inventory… more
    Henry Ford Health System (10/03/25)
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  • Regional Manager Denial Management - McLaren…

    McLaren Health Care (Grand Blanc, MI)
    …**_Required:_** + Associate's degree in nursing or healthcare related field **.** Current Registered Nurse license in the state of Michigan or possess a ... denials/appeals experience in an acute healthcare facility** **.** American Case Management Certification (ACM), Certified Clinical Documentation Specialist more
    McLaren Health Care (09/26/25)
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