• Utilization Management Nurse

    Humana (Lansing, MI)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication ... best and most appropriate treatment, care, or services for Enrollees. The Utilization Management Nurse Lead coordinates and communicates with Providers,… more
    Humana (08/20/25)
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  • Utilization Management Nurse

    Integra Partners (Troy, MI)
    The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team ... internal partners (eg, Provider Relations, Quality) to resolve escalations and address utilization management issues. + Represent UM nursing team in internal… more
    Integra Partners (08/26/25)
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  • Associate Manager, Clinical Health Services…

    CVS Health (Lansing, MI)
    …+ 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience using MS Office + Must be willing ... Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible...ability to serve as a model change agent and lead change efforts + Create a positive work environment… more
    CVS Health (09/07/25)
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  • RN - Nurse Navigator - Cardiovascular

    Trinity Health (Grand Rapids, MI)
    …to learn regulatory and accrediting agency standards and regulations relative to utilization management . Knowledge of federal, state and local regulations ... earn cash and prizes + Unlimited career growth opportunities **Position Summary:** The Nurse Navigator RN is a professional nurse who collaborates with… more
    Trinity Health (08/14/25)
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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 care in ... hospital/system leaders to develop a quality practice setting that supports professional nurse anesthesia practice and quality patient care. The CRNA Manager is… more
    Henry Ford Health System (08/27/25)
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  • Revenue Integrity - Nurse Auditor

    Trinity Health (Ann Arbor, MI)
    …healthcare financing and managed care. Knowledge of and experience in case management and utilization management . Outpatient CDI experience preferred. ... between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical … more
    Trinity Health (07/11/25)
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  • Diabetes Educator and Research Nurse

    Wayne State University (Detroit, MI)
    …in nutrition, mediation, fitness, sleep, dentition, and stress contexts, including management and monitoring. Coordinate the development, utilization , and ... Diabetes Educator and Research Nurse - Internal Medicine Wayne State University is...environment. Adapts to changes in the work environment. TIME MANAGEMENT : Ability to lead and direct student-clinicians… more
    Wayne State University (09/08/25)
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  • Registered Nurse Per Diem Beechwood

    Pine Rest Christian Mental Health Services (Grand Rapids, MI)
    …to be a part of this incredible work. What Will You Do? As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes in the healing power ... in the teaching of persons' served families, and provides milieu management . Communicates with and educates persons' served families/significant others in… more
    Pine Rest Christian Mental Health Services (08/09/25)
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  • Primary Care Nurse - Homecare

    Trinity Health (Livonia, MI)
    …Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction. ... active involvement in quality improvement activities. + Provides ongoing care management oversight/activities to assigned patients to achieve high quality care,… more
    Trinity Health (07/22/25)
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  • Home Health Nurse (Full-Time) POD 2…

    Trinity Health (Livonia, MI)
    …Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction. ... active involvement in quality improvement activities. + Provides ongoing care management oversight/activities to assigned patients to achieve high quality care,… more
    Trinity Health (07/01/25)
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