Average salary: $65,402 /yearly

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  • $33 - $37 per hour

    A national healthcare staffing firm seeks an experienced RN Utilization Review Nurse in Troy, MI. Responsibilities include utilization review for Medicaid and Medicare, managing authorization processes, and collaborating with healthcare teams to ensure quality care. Ideal... 
    Suggested
    Hourly pay
    Monday to Friday

    Healthcare Support Staffing

    Troy, MI
    12 hours ago
  • $29.05 - $67.97 per hour

     ...Michigan, is seeking an experienced Registered Nurse for medical claim review and internal appeals. Responsibilities include facilitating...  ...must have at least 2 years of clinical nursing experience, a valid RN license, and strong analytical skills. Preferred qualifications... 
    Suggested
    Hourly pay

    Molina Healthcare

    Detroit, MI
    4 days ago
  • A national healthcare staffing firm is seeking an experienced Registered Nurse for a position focused on Utilization Review. This role involves collaborating to enhance care continuity and conducting reviews for Medicaid and Medicare patients. The ideal candidate will... 
    Suggested

    Healthcare Support Staffing

    Troy, MI
    1 day ago
  • $72.47k - $111.2k

     ...Jackson, MI area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are...  ...Retirement Plan, Tuition Assistance Qualifications: RN Diploma degree or higher from an accredited school of nursing... 
    Suggested
    Daily paid
    Full time
    Part time
    Shift work
    Day shift

    Incredible Health

    Grass Lake, MI
    12 hours ago
  • $33 - $37 per hour

     ...today to see how a conversation can turn into a long‑lasting and rewarding career! Job Description Are you an experienced RN Utilization Review Nurse looking for a new opportunity with a prestigious healthcare company as a RN Utilization Review Nurse. Do you want the... 
    Suggested
    Private practice
    Work at office

    Healthcare Support Staffing

    Troy, MI
    2 days ago
  • A healthcare staffing firm is seeking an experienced Registered Nurse in Michigan to provide utilization review for healthcare services. Candidates should possess a valid RN license and experience in both utilization review and Interqual. This opportunity offers a competitive... 
    Suggested

    Healthcare Support Staffing

    Troy, MI
    1 day ago
  • A leading staffing firm is seeking a Utilization Management professional who is responsible for inpatient medical necessity and utilization review. The ideal candidate will have an RN license, strong problem-solving skills, and at least 4 years of clinical nursing experience... 
    Suggested

    Integrated Resources Inc.

    Troy, MI
    2 days ago
  • $29.05 - $67.97 per hour

     ...support for medical claim and internal appeals review activities - ensuring alignment with...  ...Resolves escalated complaints regarding utilization management and long-term services and supports...  ...and experience. Registered Nurse (RN). License must be active and unrestricted... 
    Suggested
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Detroit, MI
    12 hours ago
  •  ...you! Responsibilities Provides concurrent review and prior authorizations (as needed)...  ...policy for Molina members as part of the Utilization Management team Identifies appropriate benefits...  ...Provider environment (at least one year) RN License in Michigan Interqual experience... 
    Suggested

    Healthcare Support Staffing

    Troy, MI
    12 hours ago
  • $26.01 - $68.55 per hour

     ...coordinate clinical solutions. The role requires a nursing degree and 2-3 years of professional experience. Responsibilities include reviewing claims, training staff, and providing support to customer service teams. The company offers a competitive pay range of $26.01 - $6... 
    Suggested

    Hispanic Alliance for Career Enhancement

    Lansing, MI
    4 days ago
  • $26.01 - $68.55 per hour

     ...judgment and perform duties as a nurse. Review and interpret clinical documentation obtained...  .... Apply clinical decision‑making to utilize appropriate clinical criteria and policies...  ...requirements. Qualifications Nursing degree (RN). Minimum of 2‑3 years of professional... 
    Suggested
    Full time
    Local area
    Flexible hours

    Hispanic Alliance for Career Enhancement

    Lansing, MI
    4 days ago
  •  ...founded over 30 years ago by a Dialysis RN who believes everyone is entitled to excellent...  ...as a resource for staff. You will be utilizing your assessment skills, technical skills,...  ...based on current knowledge; consistently reviews and evaluates priorities as changes occur... 
    Suggested
    Relief
    Work at office
    Immediate start
    Remote work
    Shift work

    Rendevor Dialysis

    Detroit, MI
    12 hours ago
  •  ...Title Operating Room Registered Nurse (RN) Internship - Bronson Methodist...  ...needs/strengths for assigned patients o Reviews vital signs to assess condition of patient...  ...plan individualized to the patient o Utilizes the patient/family input when defining outcomes... 
    Suggested
    Full time
    Internship
    Local area
    Shift work
    Night shift
    Day shift

    Bronson Healthcare

    Kalamazoo, MI
    2 days ago
  •  ...Job Details MS RN's care for adult patients who are acutely ill with a wide variety...  ...quality nursing care through the utilization of the nursing process. Works collaboratively...  ...forward Upon Submission: AHSA will review and deem a clinician's application eligible... 
    Suggested
    Daily paid
    Full time
    Temporary work
    Shift work

    AMN Healthcare

    Michigan
    3 days ago
  • $63.1k - $83.65k

     ...Position : Utilization Review Specialist Req.# : 26-61 FTE : Full-time, Exempt Unit : UAW Department/Location : Utilization...  ...clinical experience post-licensure preferred); or Registered Nurse (RN) in Michigan with at least two (2) years of clinical... 
    Suggested
    Full time
    Temporary work
    Remote work
    Monday to Friday

    Network 180

    Grand Rapids, MI
    8 hours agonew
  • A healthcare organization in Troy, Michigan is seeking an Administrative Support position to manage utilization requests and ensure smooth operations. Candidates should have an Associate’s degree or equivalent experience, with at least two years in a healthcare setting.... 

    Henry Ford Health System

    Troy, MI
    12 hours ago
  • $68k - $70k

    Description Our Medical Review Nurse Analyst is responsible for conducting clinical reviews...  ...'s Degree in Nursing (BSN). ~ Active RN license, applicable to state of practice...  ...Experience with medical record review or utilization review. Remote Work Requirements... 
    Contract work
    For contractors
    Local area
    Immediate start
    Remote work

    WPS Health Solutions

    Detroit, MI
    1 day ago
  • $72.47k - $111.2k

     ...Blanc, MI area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review. ~ Shift(s) available: day shift ~ Job types available:... 
    Daily paid
    Full time
    Part time
    Shift work
    Day shift

    Incredible Health

    Flint, MI
    12 hours ago
  •  ...telemedicine provider in Michigan is seeking a Registered Nurse to handle patient communications, review lab results, and resolve inquiries. The ideal candidate should possess an active RN license and strong communication skills. Key responsibilities include documenting client... 

    Nuform Health, Inc.

    Troy, MI
    12 hours ago
  •  ...position involves collaborating with emergency department physicians, reviewing admission cases, and ensuring cost-effective patient throughput....  ...should have a Bachelor's degree in nursing, a Michigan RN license, and three years of clinical experience. The role offers... 
    Remote job
    Flexible hours
    Weekend work

    Henry Ford Health System

    Detroit, MI
    4 days ago
  •  ...auto insurance Free onsite parking Essential Functions Utilization of a high degree of discriminative judgement while providing...  ...recognized PA program that is accredited by the Accreditation Review Commission on Education for Physician Assistants and meet requirements... 
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Shift work
    Day shift

    Corewell Health

    Troy, MI
    1 day ago
  • $3,186 per week

     ...Assured Nursing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Kalamazoo, Michigan. Job Description...  ...transparent Travel Cardiac Cath Lab Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States,... 
    Weekly pay
    Zero hours contract
    Shift work

    Assured Nursing Inc

    Kalamazoo, MI
    12 hours ago
  •  ...Registered Nurse RN Ambulatory Endoscopy - Detroit Contingent - Minimum of 2 - 8 hour shifts per week, 8am - 4:30pm. Depending...  ...coordination and delivery of quality compassionate patient care. Utilizes the nursing process of assessment, planning, implementation, and... 
    Shift work

    Henry Ford Health System

    Detroit, MI
    2 days ago
  •  ...as independent contractors. This telework opportunity allows for schedule flexibility and involves conducting comprehensive medical reviews and providing objective opinions without establishing a doctor-patient relationship. Applicants must have a Michigan license and at... 
    Remote job
    For contractors

    Dane Street, LLC

    Lansing, MI
    12 hours ago
  •  ...participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%)* The RN is knowledgeable and compliant with all local, state and federal regulations and guidelines as well... 
    Relief
    Local area
    Relocation package

    MyMichigan Health

    Alma, MI
    1 day ago
  • $35.64 - $49.53 per hour

     ...and patient satisfaction and was named a Fortune/PINC 100 Top Hospital in 2023 and a Top Community Hospital by Becker's Healthcare Review Competitive compensation, DAILYPAY Trinity Health offers a comprehensive benefit package offering healthcare plans accessing... 
    Hourly pay
    Full time
    Temporary work
    Part time
    Local area
    Shift work
    Night shift
    Weekend work

    Trinity Health

    Chelsea, MI
    12 hours ago
  •  ...Job: 57513 Profession: Registered Nurse (RN) Specialty: Rehab Location: Pontiac, MI Start: 4/21/2025 Duration: 13 Weeks Shift Type:...  ...interest to provide a write-up of what happened for the manager's review. Physical copies of certifications are only required in the... 
    Full time
    Contract work
    Shift work
    Weekend work
    Day shift

    MedNinjas

    Pontiac, MI
    1 day ago
  •  ...and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes. OR Under the direction of the RN/Mid-level Provider/Physician and in collaboration with other members of the health... 
    Temporary work
    Part time
    Shift work
    Weekend work

    Corewell Health

    Greenville, MI
    2 days ago
  •  ...authorization and organizational support to the daily operations of utilization management, care management or quality teams. This role will...  ...queue and fax, which may include authorizations or appeals. Review requests for accuracy and assist with diagnostic and procedure... 

    Henry Ford Health System

    Troy, MI
    12 hours ago
  • $1,929 per week

     ...Host Healthcare is seeking a travel nurse RN Psychiatric for a travel nursing job in Byron Center, Michigan. Job Description &...  ...transparent Travel Psychiatric Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States, so... 
    Immediate start
    Shift work
    Night shift

    Host Healthcare

    Byron Center, MI
    4 days ago