• RN Utilization Management

    Corewell Health (Grand Rapids, MI)
    …clinical nursing and or case management /managed care or related field Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... in the state of Michigan. Manage all components of referral management , admission waiting list, insurance prior...within 7 years for those who start in this RN role on or after January 1, 2017 (Spectrum… more
    Corewell Health (11/04/25)
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  • Registered Nurse ( RN )…

    Tenet Healthcare (Detroit, MI)
    Registered Nurse ( RN ) -...for case management scope of services including: Utilization Management supporting medical necessity and denial ... Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a… more
    Tenet Healthcare (10/23/25)
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  • Registered Nurse ( RN ) Float…

    Veterans Affairs, Veterans Health Administration (Iron Mountain, MI)
    …series. For more information, refer to Required Documents below. Responsibilities The Float Registered Nurse ( RN ) is responsible for providing competent, ... vacancies have been filled. The initial cut-off date for referral of eligible applications will be October 10, 2025....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Registered Nurse Care Manager - Yale…

    McLaren Health Care (Yale, MI)
    …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... Procedure (SOP). **Qualifications:** _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's...of acute hospital care experience** _Preferred:_ + Experience in utilization management /case management , critical care,… more
    McLaren Health Care (10/21/25)
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  • Registered Nurse , Remote Triage,…

    ChenMed (Detroit, MI)
    …We're rapidly expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic triage directional ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
    ChenMed (11/05/25)
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  • Utilization Management Clinical…

    CVS Health (Lansing, MI)
    …health. + Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
    CVS Health (10/26/25)
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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 ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
    CVS Health (11/01/25)
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  • RN Care Coordinator

    Corewell Health (Royal Oak, MI)
    management , utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire required ... in the country. It is a major academic and referral center with Level I adult and Level II...and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning,… more
    Corewell Health (11/04/25)
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  • RN Clinical Manager

    CenterWell (Grand Rapids, MI)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... on-site at our** **Grand Rapids, MI** **branch location.** The ** RN Clinical Manager** coordinates and oversees all direct care...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (10/31/25)
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  • Hospice RN Executive Director

    Gentiva (Southfield, MI)
    …Executive Director to join our leadership team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in hospice care, ... costs, and budgeting while driving branch revenue growth through census development, referral management , and efficient resource utilization + Maintain… more
    Gentiva (10/18/25)
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