RN Care Review Clinician - Telephonic Care Manager
Molina Healthcare of Illinois
Molina Healthcare is seeking a Care Review Clinician RN to support Medicaid members transitioning from inpatient to discharge. The role blends phone outreach and in-person visits, with travel to designated hospitals in the local area. Strong emphasis on accurate documentation and multitasking across systems. Preferred candidates have prior case management, managed care, or inpatient hospital experience, plus familiarity with behavioral health. #J-18808-Ljbffr Molina Healthcare
- Molina Healthcare is seeking a Telephonic RN Care Manager in Michigan to support Medicaid members with complex medical needs. You will assess, plan, and coordinate care with multidisciplinary teams to achieve health outcomes while navigating EMR systems and HIPAA requirements...SuggestedLocal area
$62.7k - $100.4k
...Community Based Care Manager The Community Based Care Manager collaborates with members... ...office, community agency, member's home, telephonic or electronic communication Develop... ...will be completed through an interactive review process. Working Conditions: This...SuggestedHourly payWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift- ...Job Description Job Description Registered Nurse (RN) Care Manager Hybrid Community-Based Role | Wayne County, Michigan Make... ...face participant visits per field day Remote documentation, telephone outreach, and care coordination from home Meetings at the...SuggestedTemporary workWork at officeRemote workFlexible hoursWeekend work
$26.41 - $51.49 per hour
JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid... ...a successful health outcomes. The position includes telephonic outreach to members to conduct health assessments, identify...SuggestedRemote jobHourly payWork experience placementWork at officeLocal areaMonday to FridayShift work- ...primary and pediatric care, dental care, behavioral... ...pharmacy, dental, and case management services. The Nurse... ...Health Provider and BH Clinician. Apply explicit, criteria... ...unrestricted Michigan RN licensure. BLS... ...preference, and must be reviewed and confirmed by CCH clinical...SuggestedWork at officeFlexible hoursShift workWeekend workAfternoon shiftEarly shift
- ...Detroit is seeking an experienced case manager with over 5 years in case management,... ...must hold a BSN or MSW and current MI RN licensure or LMSW. Adaptability is crucial... ...directly for the interview process. Telephonic, utilization review, and psychological experience do not...
$38 per hour
...Innovation Advocate Title: Case Manager/ RN Case Manager Work Location:... ...different types of health care coverage plans that include individual... ...care to meet member needs telephonic and/or digitally. The... ...5.00 2 weeks ago Utilization Review Nurse, LTSS and HCBS - Remote...Hourly payContract workRemote work$64.1 per hour
Role: Registered Nurse (RN) - Case Manager Comp: $64.10 per point Mileage in addition... ...platform that enables clinicians to focus on delivering best-in-class care for their patients by leveraging... ...OASIS accuracy that holds up to review . Own your patients\' outcomes...Full timeMonday to FridayWeekend work- ...Orthodontics is seeking an Orthodontic Clinician III to deliver positive... ...appliances, bonding brackets, reviewing patient data, and leading patient flow. You will manage remote monitoring, triage patient... ...scans, and educate patients on care and remote monitoring protocols...Remote job
$26.41 - $51.49 per hour
...Job Title Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates... ...combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice...Remote jobHourly payWork experience placementWork at officeLocal area- ...RN - Case Manager VIBRA TRAVELS is seeking a Case Manager to join our expanding network of healthcare... ...coordinate clinically complex patient's care across a continuum; ensuring and... ...of voluntary and regulatory agencies for review activities. Proficient in collecting...Hourly payContract workLocal area
- ...and discharge of the patient. Reviews and evaluates appropriateness... ...enhance the quality of patient care and engagement, to promote continuity... ...and functions of utilization management, and/or care coordination,... ...Will consider non-BSN RN if actively pursuing a bachelor...Full timeMonday to FridayShift workWeekend work
- ...On site only. GENERAL SUMMARY: The Case Manager-RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels... ...(EHR), database systems, and utilization review/case management documentation systems. Knowledge...Full timePart timeMonday to FridayWeekend work1 day per week
- Careforth in Detroit, MI is seeking a Manager, Care Management to lead a team of clinical and non-clinical care managers, ensure high-quality services at home, and maintain compliance with state, program, and accreditation requirements. This hands-on leadership role combines...Remote job
- ...Recovery Hospital (LTACH) Case Manager (PRN) Requires a current... ...providing compassionate, excellent care every step of the way.... ...is responsible for utilization reviews and resource management, discharge... ...discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory...Daily paidFull timePart timeReliefShift workWeekday work
- Med Review and Appeals RN - Clinical Review Trending Job Description Perform prospective, concurrent... ..., intensity of service and level of care, including appeal requests initiated by... ...care, discharge planning, case management, and utilization review, etc. Demonstrated...Work at officeLocal area
- Hospice-of-Michigan is seeking a Registered Nurse (RN) for our Contact Center in Michigan to provide professional nursing services to hospice patients by telephone and to supervise nursing care as needed. You will document calls, triage needs, coordinate equipment and...
- A healthcare provider in Royal Oak, Michigan, seeks a Wound Clinician to support inpatients with wound care needs. The role requires a Bachelor's Degree in Nursing, certification in wound care, and at least two years of relevant experience. You will work from 1:00 pm to...Full timeAfternoon shift
- ...Registered Nurse, Contact Center, to provide professional nursing services or supervise nursing services for hospice patients by telephone and through telephonic assessment. Responsibilities include documenting calls, triaging referrals, coordinating equipment orders,...
- Tenet Healthcare is seeking a Registered Nurse (RN) - Case Manager in Detroit to coordinate patient care along the continuum, assess needs, and implement transition... .... You will lead multidisciplinary conferences, review medical necessity, and refer complex cases to...
- Molina Healthcare is seeking a Care Manager RN to support LTSS and care coordination in Michigan. The role requires a valid RN license, strong communication, and the ability to travel regionally as needed. You will assess member needs, develop care plans with a multidisciplinary...
- Detroit Medical Center in Hamtramck, MI is seeking a Registered Nurse (RN) for the Burn Unit. The RN delivers patient care, supervises a nursing team and collaborates with clinicians to ensure safe, effective treatment for burn patients. The role emphasizes leadership,...Shift work
- ...Behavioral Health is seeking a BCBA Clinical Manager for the Southfield, Michigan clinic. As... ...clinical utilization and quality of care, directly manage Clinical Supervisors, and... ...This role offers leadership growth within a clinician‑owned company that values expertise,...
$100k
...are looking for a compassionate RN to join our growing team! The... ...service area)!!! Provide care in Oakland and Wayne County, MI... ...and supervision of the Clinical Manager/Nursing Supervisor.... ...care. Participates in peer review and performance improvement as...Full timeWork at officeLocal areaFlexible hoursNight shiftWeekend workAfternoon shift- Molina Healthcare in Detroit is seeking a qualified RN to provide care management and coordination for members requiring LTSS and waiver services. You will collaborate with an interdisciplinary team to assess needs, develop and monitor care plans, and promote communityResource...
$77k - $85k
...and we believe that exceptional care starts with exceptional people... ...best work every day. As a clinician-owned and operated organization... ...excellence. From chronic disease management and rehabilitation to end-of-... ...specialties. As a Hospice RN Case Manager, you'll provide skilled...Temporary workWork at officeRelocation packageMonday to FridayWeekend work$85k - $95k
...Job Description Job Description Location: Madison Heights, MI Position: Patient Care Manager Position Type: Full-Time Pay: $85K-95K Offer Based on Years of Experience Schedule: Monday-Friday 8am-5pm IN OFFICE #AC-BO Responsibilities...Full timeWork at officeLocal areaMonday to FridayFlexible hours- ...Cross Blue Shield of Michigan seeks a Med Review and Appeals RN to perform prospective, concurrent and... ...inpatient, outpatient and ancillary care, ensuring medical necessity and... ...RN license, discharge planning, case management experience and strong documentation. Certification...
- Srimatrix Health in Detroit, MI is seeking a Registered Nurse-Review Analyst on a 10-month contract. The hybrid role requires one day on-site weekly and pays $30-$34 per hour on W2. The RN must hold a Michigan license and will develop and maintain Medicare Medical Policies...Hourly payWeekly payContract work
- ...Technologies in Dearborn, MI is seeking a full-time Clinician to join a pediatric outpatient clinic... ...infants. You will provide direct patient care using DOC Band and EarWell technologies in... ...-friendly setting. Ideal candidates have RN licensure, pediatric experience, and hands...Full time
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