- 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 ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
- 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 of MI._ _Case Manager RN will work in remote setting supporting our ...population who have recently been admitted into Hosptial. The Case Manager will support our members to… more
- 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
- CVS Health (Southfield, MI)
- …status and health needs based on key questions and conversation. **Required Qualifications** + Registered Nurse with active MI state license in good standing + ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range... license is part of the compact. + Certified Case Manager is preferred. + Excellent analytical… more
- Henry Ford Health System (Wyandotte, MI)
- …the ability to successfully advocate for patients and their families. CERTIFICATIONS/LICENSURES REQUIRED: Registered Nurse ( RN ) or a Licensed Social Worker ... COPE and DWIHN knowledge, utilization review. GENERAL SUMMARY: The Case Manager is a member of the...preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management… more
- Henry Ford Health System (Wyandotte, MI)
- …ability to successfully advocate for patients and their families. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse ( RN ) or a Licensed Social Worker ... 36 HOUR MIDNIGHTS GENERAL SUMMARY: The Integrated case Manager for Population Health is...preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management… more
- Tenet Healthcare (Detroit, MI)
- …acute or behavioral health case management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills ... RN Utilization Review Full Time Days - 2406003414...that may require negotiation with a payor on a case -by- case basis. This position integrates national standards… more
- AmeriHealth Caritas (Southfield, MI)
- …Clinical Counseling Psychology, or Nursing. + Current and unrestricted Michigan licensure required: Registered Nurse , LCSW, or LMSW. + 1+ year of experience in ... **Behavioral Health Care Manager , BSN** Location: Southfield, MI Primary Job Function:...years of psychiatric adult or children's direct practice experience RN Only). + Knowledge base in Medicaid, Medicare… more
- 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 ... Functions and Responsibilities as Assigned:** 1. Collaborates with the UM RN to determine the appropriate hospital setting (inpatient vs. observation) based… more