• Care Review Clinician

    Molina Healthcare (Detroit, MI)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (10/02/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Detroit, MI)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (07/27/25)
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  • Med Mgmt Nurse (US)

    Elevance Health (Dearborn, MI)
    …employment, unless an accommodation is granted as required by law. The **Medical Management Nurse ** is responsible for review of the most complex or challenging ... **Medical Management Nurse ** **Hours: Candidates will work 8a-5pm PST with...not be receiving appropriate type, level, or quality of care , eg, if services are not in line with… more
    Elevance Health (10/16/25)
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