• RN Clinical Liaison

    Gentiva (Grand Rapids, MI)
    …clinical liaison, RN liaison, clinical coordination, discharge planner, hospice case manager or RN educator + Known and respected within your community ... Gentiva family - an industry leader in hospice, palliative, home health, and personal home care . Our place is by the side of those who need us, offering physical,… more
    Gentiva (03/06/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Grand Rapids, MI)
    …Claim review including DRG Validation, Itemized Bill Review, Appropriate Level of Care , Inpatient Readmission, and any opportunity identified by the Payment ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Grand Rapids, MI)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... integrated) performing one or more of the following activities: care review/utilization management (prior authorizations, inpatient /outpatient medical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (03/07/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Grand Rapids, MI)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... multidisciplinary integration and collaboration to enhance the continuity of care + Functions as hands-on manager responsible... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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