• Utilization Management Nurse

    Integra Partners (Troy, MI)
    …other duties as assigned EDUCATION: Active, Licensed Vocational Nurse , or Licensed Practical Nurse license EXPERIENCE: + Minimum of 3 years of ... Integra is looking for a LPN /LVN experienced in the managed care payor environment...managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will… more
    Integra Partners (11/21/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Pontiac, MI)
    … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...**Current licensure in a clinical discipline either as a Nurse (RN / LPN / LVN)or a Respiratory Therapist… more
    Select Medical (11/20/25)
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  • RN Utilization Review - Case…

    Tenet Healthcare (Detroit, MI)
    …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
    Tenet Healthcare (12/03/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (MI)
    …of relevant education and experience. + Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ). The license must be active and ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint… more
    Molina Healthcare (11/13/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Lansing, MI)
    …it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG ... knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered...Excel, Outlook, experience working in a health plan medical management documentation system a plus. Minimum Education: LVN/ LPN more
    Datavant (11/12/25)
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  • Registered Nurse (RN) - Case Manager

    Tenet Healthcare (Detroit, MI)
    …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition ... Registered Nurse (RN) - Case Manager - 2506003285 Description...q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements… more
    Tenet Healthcare (12/10/25)
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  • Supervisor, Healthcare Services (Remote…

    Molina Healthcare (MI)
    …and experience. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse ( LPN ), Licensed Clinical Social Worker ... in some or all of the following functions: care management , utilization management , behavioral health,...(LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed more
    Molina Healthcare (12/12/25)
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  • Nurse

    Veterans Affairs, Veterans Health Administration (Adrian, MI)
    …promotion, health education and coaching on wellness, disease prevention, and chronic care management . The nurse will assist in directing the provision of ... The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse (RN) to serve as the Patient Aligned Care Team (PACT) Outpatient Staff… more
    Veterans Affairs, Veterans Health Administration (12/13/25)
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  • Medical Assistant Lead Diabetes

    Corewell Health (Grand Rapids, MI)
    …practice or healthcare setting Required + Experience working as a medical assistant, paramedic, Licensed Practical Nurse ( LPN ), or Registered Nurse ... in the team as a whole. Responsibilities for cost-effective utilization of employees and other resources while maintaining high...State of Michigan Upon Hire required Or + LIC-License Practical Nursing ( LPN ) - STATE_MI State of… more
    Corewell Health (12/03/25)
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  • Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Pleasant, MI)
    …required and directed. **Qualifications:** **_Required:_** + Registered Health Information Technician (RHIT), Licensed Practical Nurse ( LPN ), hospital ... education sessions to maintain competency and knowledge of regulations in denials, utilization management , care management , clinical documentation, and… more
    McLaren Health Care (11/11/25)
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  • Clinical Reviewer, Nurse (Medical Oncology)

    Evolent (Lansing, MI)
    …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed… more
    Evolent (12/10/25)
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  • Unit Clerk

    Behavioral Center of Michigan (Detroit, MI)
    …and compiles records for the unit. Upholds system and organization in the nurse station, giving assistance to the assigned clinical staff in the unit. Performs ... for discharge/transfer. Makes appropriate copies for various departments (Nursing, Utilization Review, Billing, and Partial Hospitalization Program). + Collects… more
    Behavioral Center of Michigan (11/11/25)
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