• RN Field Case Manager

    Sedgwick (Detroit, MI)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **Looking for** **experienced** ... **Workers Comp RN Field Case Manager Nurses across...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **​** _As… more
    Sedgwick (03/13/25)
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  • Registered Nurse Case

    Tenet Healthcare (Detroit, MI)
    Registered Nurse Case Manager Contingent...Rosa Parks Geriatric Center of Excellence. Job Description: The RN Case Manager is responsible ... management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan....Nurse in the State of Michigan. 4. Accredited Case Manager (ACM) preferred. 5. Must complete… more
    Tenet Healthcare (03/04/25)
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  • Supv- Case Management HFH - Social Worker/…

    Henry Ford Health System (Detroit, MI)
    …to develop collaborative relationships an interdisciplinary care team. CERTIFICATIONS/LICENSURES REQUIRED: . Registered Nurse ( RN ) or a Licensed Social ... : . Bachelor degree in nursing or related professional field (ie social work, counseling, health education, etc.) or...with a valid, unrestricted State of Michigan license. Accredited Case Manager (ACM) by the American … more
    Henry Ford Health System (02/01/25)
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  • Case Manager RN - Personal…

    Molina Healthcare (Detroit, MI)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state ... + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field ...services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina… more
    Molina Healthcare (02/14/25)
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  • RN /Social Worker Case

    Henry Ford Health System (Troy, MI)
    …ability to successfully advocate for patients and their families. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse ( RN ) or a Licensed Social Worker ... right time? We are now hiring passionate & dedicated RN or Social Worker Case Managers to...with some remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of… more
    Henry Ford Health System (02/18/25)
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  • Case Manager Trauma Recovery Center

    Henry Ford Health System (Detroit, MI)
    …the ability to successfully advocate for patients and their families. CERTIFICATIONS/LICENSURES REQUIRED: Registered Nurse ( RN ) or a Licensed Social Worker ... violent crime. Preferring training in trauma-informed care/working with trauma populations. The Case Manager is an interdependent member of the patient-centered… more
    Henry Ford Health System (01/16/25)
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  • Supervisor Integrated Care Management (MI)

    AmeriHealth Caritas (Southfield, MI)
    …current, unrestricted (MI) LMSW/LCSW license in good standing. + Certified as a Case Manager , preferred + 1-3 years field supervision + 3-5 years case ... Under the supervision of the Director, Medical Management, the Supervisor, Integrated Case Management (ICM), is responsible for the daily oversight of the … more
    AmeriHealth Caritas (02/05/25)
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  • Case Manager - Licensed Master…

    Molina Healthcare (Detroit, MI)
    …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
    Molina Healthcare (03/20/25)
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  • Nurse Case Manager II

    Elevance Health (Dearborn, MI)
    ** Nurse Case Manager II**...**Minimum Requirements:** + Requires BA/BS in a health related field and minimum of 5 years of clinical experience; ... a month an evening shift will be required. The ** Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
    Elevance Health (03/18/25)
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  • Case Manager (Contingent) St Mary…

    Trinity Health (Livonia, MI)
    …Shift **Description:** **An Opportunity to Join our Remarkable Care Team as a** ** Case Manager ** **in the Case Management/Emergency Department awaits YOU ... outcomes, patient safety, financial performance and efficiency. **SUMMARY:** A Case Manager is required to function at...Required. 3-5 years current experience in the areas of case management, utilization review, or a related field more
    Trinity Health (03/17/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Dearborn, MI)
    **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is...**Minimum Requirements:** + Requires a BA/BS in a health-related field ; 5 years of clinical experience; or any combination… more
    Elevance Health (03/18/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Sterling Heights, MI)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... 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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  • Sr Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Detroit, MI)
    …will improve the lives of patients with life-threatening illnesses worldwide. The **Sr.** ** Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a ... patients receive the necessary treatments without unnecessary delays. This is a field -based role supporting the **Detroit, MI area** ; candidates must be able… more
    Gilead Sciences, Inc. (03/18/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Sterling Heights, MI)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/07/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Sterling Heights, MI)
    … Nursing ( RN ) or State Clinical Social Worker/Counseling (or related field ) License Certified Case Manager (CCM), Utilization Management Certification ... knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's… more
    Molina Healthcare (03/13/25)
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  • Program Manager , HCS (Remote)

    Molina Healthcare (Sterling Heights, MI)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (02/16/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Sterling Heights, MI)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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  • Public Health Project Coordinator

    City of Detroit (Detroit, MI)
    …Union Salary Regular Service General + Description + Benefits + Questions Description Lead Nurse Case Manager Under general supervision, the Lead Nurse ... experience in hospital or acute care setting as a Registered Nurse ( RN ). One year...year experience in home care, community health or related field as a Community Health Nurse . OTHER… more
    City of Detroit (03/19/25)
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  • Integrated Care Management Assistant Utilization…

    McLaren Health Care (Detroit, MI)
    **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the coordination of patient admission and continued stay ... and Responsibilities as Assigned:** 1. Collaborates with the UM RN to determine the appropriate hospital setting (inpatient vs....+ Bachelor's degree in coding/medical records/billing or healthcare related field + Two years of case management… more
    McLaren Health Care (01/13/25)
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