• 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 ... **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who...clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (06/20/25)
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  • Care Review Clinician

    Molina Healthcare (Detroit, MI)
    …/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred ... Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
    Molina Healthcare (06/20/25)
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  • RN Care Review

    Molina Healthcare (Troy, MI)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who lives in MICHIGAN and must be licensed for the state of MICHIGAN. We cannot ... care /medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (06/19/25)
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  • Care Review Clinician

    Molina Healthcare (Grand Rapids, MI)
    care /medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
    Molina Healthcare (06/25/25)
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  • Utilization Management Clinician Behavioral…

    CVS Health (Lansing, MI)
    …in the state of residence (LMSW, LCSW, LISW, LPC, or comparable) or Registered Nurse licensure with psychiatric specialty, certification, or experience in state ... degree in Behavioral/Mental Health or Human Service/Health services or Registered Nurse with Behavioral Health experience/background. **Anticipated Weekly… more
    CVS Health (06/25/25)
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  • Clinical Quality Review Specialist…

    Trinity Health (Livonia, MI)
    …to achieve organization's strategic aims and top clinical outcomes. **Minimum Qualifications** + ** Registered Nurse with current license from the state in which ... time **Shift:** **Description:** Trinity Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification… more
    Trinity Health (06/04/25)
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  • Clinical Documentation Integrity (CDI) Coordinator…

    Trinity Health (Livonia, MI)
    …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... in-services and other user group forums. Provides direction for daily review assignments and operations. Responsible for developing and maintaining systems training… more
    Trinity Health (04/30/25)
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