• RN Education Specialist

    Henry Ford Health System (Detroit, MI)
    …direction and consultation to Case Managers, clerical staff, and departmental management. EDUCATION /EXPERIENCE REQUIRED: + Registered Nurse ( RN ) with ... GENERAL SUMMARY: Under the direction of the department director, the Education Specialist assesses, designs, and evaluates cost-effective, customer-oriented,… more
    Henry Ford Health System (08/07/25)
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  • Registered Nurse - RN Field…

    Humana (Detroit, MI)
    …2** **years experience in health care and/or case management** + **Active Michigan Registered Nurse ( RN ) license with no disciplinary action** + **Must ... skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or Clinical Nurse Specialist with** **a minimum of… more
    Humana (10/02/25)
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  • Clinical Care Transition Specialist

    Option Care Health (Detroit, MI)
    …performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse ( RN ) or licensed Pharmacist in the state ... and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to… more
    Option Care Health (10/19/25)
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  • RN Medical Claim Review Nurse Remote

    Molina Healthcare (Detroit, MI)
    …coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional… more
    Molina Healthcare (10/19/25)
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  • ADA Accommodation Specialist

    Sedgwick (Detroit, MI)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... vocational skills needed for particular employment positions; makes decisions or assists case management staff in making decisions regarding a client's competence in… more
    Sedgwick (10/30/25)
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  • Point of Use Specialist - Fulltime - Days…

    Henry Ford Health System (Detroit, MI)
    GENERAL SUMMARY: The Point of Use Specialist will have overall ownership and accountability for supporting the procedural case cart picking function and proper ... procedures/services assigned. The focus for this position will be to conduct the case cart picking function for procedural supplies in the Operating Room inventory… more
    Henry Ford Health System (10/29/25)
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  • Disability Clinical Specialist

    Sedgwick (Detroit, MI)
    …**QUALIFICATIONS** ** Education & Licensing** Bachelor's degree or equivalent preferred. RN , LVN, CRC, COHN CVD, LPC and/or LCSW preferred. Current license, ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and… more
    Sedgwick (10/17/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (Detroit, MI)
    …Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse ( RN ), Licensed practical ... of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position ensures adherence to state… more
    Molina Healthcare (10/22/25)
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  • Program Manager, Healthcare Services - Clinical…

    Molina Healthcare (Detroit, MI)
    …behavioral health, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed… more
    Molina Healthcare (10/10/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Detroit, MI)
    …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. + Licensed Vocational Nurse (LVN) or… more
    Molina Healthcare (10/23/25)
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  • Clinical Care Manager II

    Elevance Health (Dearborn, MI)
    …designated group. + Ask questions and listen to member in order to assess case and determine needs. + Give referral and/or make referral appointment as circumstances ... + Master's degree in social work, psychology, counseling or a Bachelor's level RN .Licenses: Current, valid and unrestricted license in the State of Michigan in a… more
    Elevance Health (10/18/25)
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