• Registered Nurse Utilization…

    McLaren Health Care (Port Huron, MI)
    …as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate ... for timeliness, appropriateness and completeness as pertains to the utilization management process including level of care,...and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in… more
    McLaren Health Care (11/12/25)
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  • Utilization Management Nurse

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/08/25)
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  • Utilization Management Nurse

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
    Humana (11/13/25)
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  • Utilization Management Appeals…

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/12/25)
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  • Utilization Management Nurse…

    CVS Health (Lansing, MI)
    … solutions that promote high-quality healthcare for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant, where you'll ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
    CVS Health (11/13/25)
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  • Utilization Management Nurse

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse within the Clinical Access Grievance Team utilizes ... care management and utilization management skills...an impact** **Required Qualifications** + Associate's degree + Licensed Registered Nurse (RN) in the (appropriate Compact… more
    Humana (11/08/25)
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  • Utilization Management Nurse

    Humana (Lansing, MI)
    …Work hours will be an 8.5-hour shift between 7:00am - 5:00pm CST. The Utilization Management Nurse 2 uses knowledge, communication, and independent critical ... **Required Qualifications** + Associate's Degree or higher + Licensed Registered Nurse (RN) in the (appropriate state)...a team **Preferred Qualifications** + BSN + Knowledge of Utilization Management + Previous Medicare and Medicaid… more
    Humana (11/12/25)
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  • Registered Nurse (RN) - Case Manager

    Tenet Healthcare (Detroit, MI)
    Registered Nurse (RN) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... for case management scope of services including: Utilization Management supporting medical necessity and denial... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
    Tenet Healthcare (10/23/25)
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  • Registered Nurse Case Manager…

    Henry Ford Health System (Detroit, MI)
    …and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse (RN) with a valid, unrestricted State of Michigan license. + ... Proficiency with computers, electronic health records (EHR), database systems, and utilization review/case management documentation systems. + Knowledge of CMS,… more
    Henry Ford Health System (09/10/25)
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  • Manager- Certified Registered Nurse…

    Henry Ford Health System (Detroit, MI)
    The Certified Registered Nurse Anesthetist (CRNA) Manager is a Certified Registered Nurse Anesthetist who ensures the delivery of safe anesthetic patient ... activities in accordance with regulatory and accrediting organizations. . Hires certified registered nurse anesthetists for the department. Accepts input on… more
    Henry Ford Health System (08/27/25)
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