Top 115 Registered nurse case manager Jobs in Macomb County, Mi

UM Case Manager/Appeals Coordinator
Havenwyck Hospital (UHS) —Auburn Hills, MI
- $60,000 - $69,000 a year
- Full-time
- Background check
- LMFT
- Nursing
- Loan repayment program
- Health insurance
Quick Apply
RN Field Case Manager
Hope At Home Health Care —Macomb, MI
- Up to $100,000 a year
- Weekends as needed
- Nursing
- Management
- RN License
- Health insurance
- Flexible spending account
Quick Apply
RN Field Case Manager
Hope At Home Health Care —Sterling Heights, MI
- Up to $100,000 a year
- Weekends as needed
- Nursing
- Management
- RN License
- Health insurance
- Flexible spending account
Quick Apply
RN - Case Manager
Vibra Travels LLC —Detroit, MI
- $2,331.20 a week
- Online Application
- Nursing
- RN License
- BLS Certification
- Referral program
Quick Apply
Case Manager-Outpatient
Macomb County Government —Macomb County, MI
- $50,007.10 - $64,680.01 a year
- Overtime
- LMFT
- Writing skills
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
Hospice RN Case Manager [M-F, 9-5] Macomb County
Michigan Palliative & Hospice Care [MPHC] —Macomb County, MI
- Full-time
- CPR Certification
- RN License
- Writing skills
- Mileage reimbursement
- Health insurance
Quick Apply
9d
RN (Registered Nurse) Case Manager
Beaumont ASHN LLC —Troy, MI
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Patient Care Manager - RN
Heart to Heart Hospice —Macomb, MI
- Full-time
- RN License
- Mid-level
- Driver's License
- Mileage reimbursement
- Paid holidays
Quick Apply
Case Manager-Ambulatory-Macomb
Henry Ford Health —Troy, MI
- Day shift
- Master of Social Work
- Nursing
- RN License
- Health insurance
- Dental insurance
Senior Care Manager (RN)
Meridian Michigan —Macomb, MI
- $75,300 - $135,400 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
Case Manager-Ambulatory-Warren
Henry Ford Health —Troy, MI
- Day shift
- Master of Social Work
- Nursing
- RN License
- Health insurance
- Dental insurance
Case Manager - Full Time - Day Shift - Macomb
Henry Ford Health —Clinton Township, MI
- Full-time
- Master of Social Work
- Nursing
- RN License
- Health insurance
- Dental insurance
Case Manager Contingent
Henry Ford Health —Clinton Township, MI
- Weekends as needed
- Master of Social Work
- Nursing
- RN License
- Health insurance
- Dental insurance
RN or Social Worker Case Manager (Hybrid/Macomb area) - Populance
Henry Ford Health —Troy, MI
- Day shift
- Master of Social Work
- Nursing
- RN License
- Health insurance
- Dental insurance
Registered Nurse (RN) - Case Manager
Adaptive Home Health —Macomb, MI
- $64.10 per point
- Weekends as needed
- Management
- RN License
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
Care Manager, LTSS (RN) Remote (Wayne County, MI)
Molina Healthcare —Warren, MI
- $26.41 - $51.49 an hour
- Full-time
- Nursing
- RN License
- Experience working with individuals with disabilities
- Health insurance
12d
Care Manager, LTSS (RN) Remote (Detroit MI)
Molina Healthcare, Inc. —East Detroit, MI
- $26.41 - $51.49 an hour
- Full-time
- Nursing
- RN License
- Experience working with individuals with disabilities
- Health insurance
Care Manager (LMSW)
Centene Corporation —Macomb, MI
- Full-time
- LMFT
- Nursing
- RN License
- Paid holidays
- Health insurance
Registered Nurse Case Manager
PACE Southeast Michigan —Sterling Heights, MI
- Full-time
- Nursing
- Clean driving record
- Management
Quick Apply
RN Care Coordinator
Corewell Health —Troy, MI
- Full-time
- Nursing
- RN License
- Hospital
3h

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registered nurse case manager jobs near macomb county, mi

UM Case Manager/Appeals Coordinator

Havenwyck Hospital (UHS) -
Auburn Hills, MI

Quick Apply

Job Details

Full-time
$60,000 - $69,000 a year

Benefits

Loan repayment program
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance
Referral program

Qualifications

Appeals
RN License
LMSW
LPC
Master's degree
Case appeal in utilization management
Bachelor's degree
LBSW
Case management
Substance abuse
Experience working with individuals with substance use disorders
Care plans
Insurance claims appeal handling
Hospital experience

Full Job Description

UM CASE MANAGER/APPEALS COORDINATOR

HAVENWYCK HOSPITAL (a UHS facility)

Havenwyck Hospital is a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providing comprehensive, compassionate behavioral health services to children, adolescents and adults. It is the ultimate goal of our dedicated staff to build strength, confidence and knowledge within each patient, in hopes that they may continue learning and understanding their needs and practicing self-care for the rest of their lives.

For more information, please visit us at www.havenwyckhospital.com

POSITION SUMMARY:

The Utilization Management Case Manager/ Appeal Coordinator has responsibility for organizing and conducting the managed care process and managing the appeal process. These duties shall be directed toward supporting the hospital's mission in the pursuit of excellence in care/service and will include (but not limited to): conducting timely admission and continued stay record reviews with external payers, utilizing approved criteria to make determinations of medical necessity and level of care planning, verifying active treatment by completing internal audit reviews within approved time frames, assisting the treatment team when indicated in the discharge planning process, and acting as liaison with MD/Clinical Treatment Team and external agencies. Report authorizations, denials, and documentation concerns, as well as collaborate effectively across departments to minimize denials/facilitate optimal use of hospital resources. In addition, this position is responsible for identifying cases for appeal, submitting those appeals, and tracking their status.

QUALIFICATIONS

Bachelor Degree in social work, psychology, counseling or nursing required. Master’s degree in social work, psychology, or counseling preferred.
Valid license in the State of Michigan as a Limited or fully licensed (LBSW, RN, LLMSW, LMSW, LLP, TLLP, LPC, LMFT, etc.) required.
A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred
Experience in appeals process required.
Familiarity with managed health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred.

If you would like to learn more about this position before applying, please contact Havenwyck Hospital at 248-373-9200.

BENEFIT HIGHLIGHTS:

Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plan
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its 300+ Subsidiaries
Free Basic Life Insurance
Tuition Reimbursement
SoFi Student Loan Refinancing Program
Student Loan Repayment Program - for some degrees and criteria

What do our current employees value at Havenwyck Hospital and UHS?

An environment that puts patient care first. One of the most rewarding aspects of this job is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peer co-workers that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement with UHS.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Job Type: Full-time

Pay: $60,000.00 - $69,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Tuition reimbursement
Vision insurance

Application Question(s):

What is your desired annual compensation?

Education:

Bachelor's (Required)

Experience:

Post Graduate Psychiatric or Substance Abuse Treatment: 2 years (Required)
Hospital Utilization Review/Utilization Management: 1 year (Preferred)

License/Certification:

LBSW, RN, LLMSW, LMSW, LLP, TLLP, LPC, or LMFT (Required)

Work Location: In person

Quick Apply

Refine Your Search

registered nurse case manager jobs in macomb county, mi

UM Case Manager/Appeals Coordinator

RN Field Case Manager

RN Field Case Manager

RN - Case Manager

Case Manager-Outpatient

Hospice RN Case Manager [M-F, 9-5] Macomb County

RN (Registered Nurse) Case Manager

Patient Care Manager - RN

Case Manager-Ambulatory-Macomb

Senior Care Manager (RN)

Case Manager-Ambulatory-Warren

Case Manager - Full Time - Day Shift - Macomb

Case Manager Contingent

RN or Social Worker Case Manager (Hybrid/Macomb area) - Populance

Registered Nurse (RN) - Case Manager

Care Manager, LTSS (RN) Remote (Wayne County, MI)

Care Manager, LTSS (RN) Remote (Detroit MI)

Care Manager (LMSW)

Registered Nurse Case Manager

RN Care Coordinator

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