• RN Utilization Review

    Tenet Healthcare (Detroit, MI)
    RN Utilization Review Full Time Days - 2506001461 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as...Conditions of Participation and Tenet policies Operates within the RN scope of practice as defined by state licensing… more
    Tenet Healthcare (07/03/25)
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  • Complex Care - Registered Nurse Case…

    Henry Ford Health System (Detroit, MI)
    …and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a valid, unrestricted State of Michigan ... Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of CMS,… more
    Henry Ford Health System (05/20/25)
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  • RN Care Coordinator

    Corewell Health (Royal Oak, MI)
    …management, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon Hire required ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
    Corewell Health (06/27/25)
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  • RN Clinical Database Specialist

    Corewell Health (Southfield, MI)
    …Degree or equivalent in healthcare or related field + 2 years of Nursing experience + LIC- Registered Nurse ( RN ) - State of Michigan upon hire Preferred + ... requirements for meetings or events. We are seeking a highly skilled and detail-oriented RN Clinical Database Specialist to join our team with a primary focus on… more
    Corewell Health (07/02/25)
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  • RN Clinical Data Specialist

    Corewell Health (Southfield, MI)
    …+ 5 years of relevant experience with Registry and/or Regulatory database management + LIC- Registered Nurse ( RN ) State of Michigan Upon Hire Preferred + ... two meetings annually, one of which must be the annual comprehensive review meeting. Responsible for the comprehensive bariatric program and monitoring of clinic… more
    Corewell Health (07/08/25)
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  • Group Director of Case Management

    Tenet Healthcare (Detroit, MI)
    …goals and objectives that support overall strategic plans of the Case Management and Utilization Review strategy · Lead Group hospital Case Management and ... Utilization Review operations for cost-effective and clinically...experience, business planning and project management experience preferred. Required: Registered Nurse or LCSW/LMSW license. Must be… more
    Tenet Healthcare (05/07/25)
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  • Ops-UM Training Specialist

    Integra Partners (Troy, MI)
    …to design individual training plans to help improve employee performance EDUCATION: + Registered Nurse ( RN ) certification from an accredited nursing program ... Integra Partners is seeking an experienced nurse educator to join our Operations Training &...to get things done. PREFERRED SKILLS: + Certification in Utilization Review or Case Management + Experience… more
    Integra Partners (06/03/25)
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  • Clinical Liaison Referral Services Full

    Tenet Healthcare (Detroit, MI)
    …care techniques and practices by participating in educational programs. Participation in Utilization Review committee process as needed. Maintains a working ... Clinical Liaison Referral Services Full Time Days - 2506001476 Description : DMC...patient population preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
    Tenet Healthcare (06/26/25)
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  • APP Manager, Pediatrics

    Corewell Health (Royal Oak, MI)
    …required. Nurse Practitioner Candidate: + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the State ... and implementation performance evaluations, OPPE/FPPE, etc. Represents APPs to outside review services such as Joint Commission, American College of Surgeons etc.… more
    Corewell Health (05/28/25)
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