• 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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  • Registered Nurse Case Manager…

    Henry Ford Health System (Detroit, MI)
    …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a valid, unrestricted State of Michigan… more
    Henry Ford Health System (07/10/25)
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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 Provider Appeals Coordinator (Hybrid)…

    Henry Ford Health System (Troy, MI)
    Nurse ! We are a team of Registered Nurses (3 and counting) and Utilization Review Coordinators (4) that review appeals for medical necessity using ... Windows and Microsoft Word. Excel and Access preferred. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse ( RN ) with current Michigan licensure.… more
    Henry Ford Health System (07/10/25)
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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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  • RN , Clinical Resource Coordinator

    Trinity Health (Livonia, MI)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **POSITION SUMMARY:** Provides clinical support within Supply Chain Management for all aspects ... service activities for clinical departments. Responsible for identification of utilization and standardization opportunities resulting in supply spend savings and… more
    Trinity Health (07/02/25)
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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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  • Supervisor, Clinical Documentation Integrity (CDI…

    Trinity Health (Livonia, MI)
    …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... **Employment Type:** Full time **Shift:** **Description:** **Remote based work location**...to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible for scheduling… more
    Trinity Health (06/09/25)
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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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