• Care Review Clinician

    Molina Healthcare (Detroit, MI)
    **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those… more
    Molina Healthcare (03/07/25)
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  • Care Review Clinician

    Molina Healthcare (Detroit, MI)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (05/11/25)
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  • Clinical Documentation Integrity (CDI) Coordinator…

    Trinity Health (Livonia, MI)
    …Information Technician (RHIT) + Certified Coding Specialists (CCS) + Licensure as a physician assistant ( PA ) or Nurse Practitioner/Advanced Practice Nurse ... Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market. Personal presence that… more
    Trinity Health (04/30/25)
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