• Care Manager II, Complex ICM, Registered

    AmeriHealth Caritas (Grand Rapids, MI)
    …of health. Utilizes strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care and barriers to care. ... for Members. + Support a positive workplace environment, collaborate, and share clinical knowledge and skills to support our culturally and demographically diverse… more
    AmeriHealth Caritas (01/07/25)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Lansing, MI)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
    Lincoln Financial Group (01/03/25)
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  • Lead, Auditor (RN) Appeals & Grievances…

    Molina Healthcare (Grand Rapids, MI)
    …adequate staffing and production levels are maintained + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management ... our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals and Grievances...to ensure member needs are being met. + Assesses registered nurses and other clinical staff regarding… more
    Molina Healthcare (01/13/25)
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  • Care Manager Behavioral Health - Part Time…

    Highmark Health (Lansing, MI)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
    Highmark Health (12/12/24)
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  • Investigator, Coding SIU ( Remote )

    Molina Healthcare (Grand Rapids, MI)
    …Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse (RN), Licensed practical nurse ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
    Molina Healthcare (12/15/24)
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  • Care Manager- Remote

    Sharecare (Lansing, MI)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (12/04/24)
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  • Home Care Weekend RN

    Trinity Health (Grand Rapids, MI)
    …**Day 1 Benefits w/$15,000 Signing Bonus, Mileage Reimbursement and Flexible Scheduling** **Weekend Registered Nurse - 3 - 12hour shifts** **Full-Time Weekend ... Registered Nurse ** **Position Purpose:** Our Home Care Baylor RNs use...avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring… more
    Trinity Health (12/18/24)
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  • Qualified Mental Health Professional 9-P11

    State of Michigan (Ionia, MI)
    …Profession, which is required to practice as a psychologist, social worker, counselor, registered nurse , or other QMHP. Positions in this class are ... Health Profession, which is required to practice as a psychologist, social worker, counselor, registered nurse , or other QMHP? If so, please attach proof of… more
    State of Michigan (01/11/25)
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  • Supervisor Community Programs

    Corewell Health (Grand Rapids, MI)
    …from the State of Michigan School Upon Hire Preferred + Bilingual (Spanish) + LIC - Registered Nurse (RN) from the State of Michigan Upon Hire + CRT - Basic ... disease in Kent County . Plans, organizes, and supervises all assigned clinical and program services and staff. Ensures appropriate supervision and case consultation… more
    Corewell Health (12/17/24)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Lansing, MI)
    …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability,… more
    Highmark Health (11/25/24)
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  • Central Monitor Tech

    Corewell Health (Grand Rapids, MI)
    …current pattern, and prior variances. Observes screen of cardiac monitor and informs Registered Nurse (RN) of variances to initiate examination of patient. ... Scope of work Remotely monitors patients and/or patient information using remote monitoring technology. Monitors and interprets heart rhythm or other patient… more
    Corewell Health (01/09/25)
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  • Auditor

    WelbeHealth (Lansing, MI)
    …families **Job Requirements:** + Graduate of an Accredited School of Nursing: unencumbered Registered Nurse (RN) License or LVN License with which you practice ... **100% REMOTE OPPORTUNITY** The WelbeHealth PACE program helps seniors...WelbeHealth locations **Benefits of Working at WelbeHealth** Apply your clinical expertise in new ways as we rapidly expand.… more
    WelbeHealth (01/11/25)
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