Top 387 Registered nurse case manager Jobs in Mi

Case Manager, Registered Nurse
CVS Health —Michigan
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance
Case Manager - Part Time - Days - West Bloomfield
Henry Ford Health —West Bloomfield Township, MI
- Part-time
- Master of Social Work
- Nursing
- RN License
- Health insurance
- Dental insurance
8d
Care Manager (RN) Remote (Detroit, MI)
Molina Healthcare —Detroit, MI
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Hospital
- HIPAA
- Health insurance
Remote Behavioral Registered Nurse (RN)– Remote Care Manager
CareGenix Solutions LLC —Michigan
- Part-time
- Remote
- Nursing
- RN License
- HIPAA
Quick Apply
Case Manager-Ambulatory-Macomb
Henry Ford Health —Troy, MI
- Day shift
- Master of Social Work
- Nursing
- RN License
- Health insurance
- Dental insurance
Case Manager - Part Time - Nights - West Bloomfield
Henry Ford Health —West Bloomfield Township, MI
- Part-time
- Master of Social Work
- Nursing
- RN License
- Health insurance
- Dental insurance
8d
Registered Nurse Case Manager (RNCM)
Alternate Solutions Health Network —Troy, MI
- Full-time
- Nursing
- Management
- RN License
- Health insurance
- Dental insurance
Quick Apply
4d
Registered Nurse / Case Manager – Hybrid $5000 Sign-on
A & D Home Health Care —Saginaw, MI
- From $67,500 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- HIPAA
- Travel reimbursement
- Mileage reimbursement
Quick Apply
Hospice Registered Nurse Case Manager (RN)
Trinity Health At Home —Grand Haven, MI
- Full-time
- Medication administration
- RN License
- Mid-level
- 403(b) matching
- Paid holidays
Quick Apply
Hospice Registered Nurse Case Manager (RN)
Trinity Health At Home —Grand Haven, MI
- Full-time
- Medication administration
- RN License
- Mid-level
- 403(b) matching
- Paid holidays
Quick Apply
Hospice Registered Nurse Case Manager (RN)
Trinity Health At Home —Muskegon, MI
- Full-time
- Medication administration
- RN License
- Mid-level
- 403(b) matching
- Paid holidays
Quick Apply
Registered Nurse (RN) Case Manager
UP Health System - Marquette —Marquette, MI
- 8 hour shift
- Acute care
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse Care Manager
McLaren Northern Michigan —Petoskey, MI
- From $35.84 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Loan repayment program
- Relocation assistance
Quick Apply
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
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
Care Manager- Registered Nurse [Hybrid]
Region IV Area Agency on Aging —Saint Joseph, MI
- $54,600 - $64,500 a year
- Full-time
- Hybrid work
- Up to 50% travel
- RN License
- Computer literacy
- 403(b) matching
- Mileage reimbursement
Quick Apply
RN Case Manager
Crossbridge Hospice —Troy, MI
- Weekends as needed
- Management
- RN License
- Mid-level
- Mileage reimbursement
- Paid holidays
Quick Apply
9d
Hospice RN Case Manager [M-F, 9-5] Oakland County
Michigan Palliative & Hospice Care [MPHC] —Oakland County, MI
- Full-time
- CPR Certification
- RN License
- Writing skills
- Mileage reimbursement
- Health insurance
Quick Apply
Hospice RN Case Manager
Assured Hospice Care —Lapeer, MI
- Full-time
- Mid-level
- Hospice
- In-person
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN) Case Manager
Alternate Solutions Health Network —Troy, MI
- Full-time
- Nursing
- RN License
- English
Quick Apply

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registered nurse case manager jobs near mi

Case Manager, Registered Nurse

CVS Health -
Michigan

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Job Details

Full-time
$54,095 - $155,538 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

RN License
Typing
Hospital experience

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

This is a remote work from home role anywhere in the US with virtual training.

American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.

Key Responsibilities

This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.
Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits.
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations.
Identifies and escalates member’s needs appropriately following set guidelines and protocols.
Need to actively reach out to members to collaborate/guide their care.
Perform medical necessity reviews.

Required Qualifications

5+ years’ experience as a Registered Nurse with at least 1 year of experience in a hospital setting.
The AHH RN Case manager position requires the nurse to support members across multiple states. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support.
1+ years’ experience documenting electronically using a keyboard.
1+ years’ current or previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/ Obstetrics experience.

Preferred Qualifications

1+ years’ Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.
1+ years' experience in Utilization Review.
CCM and/or other URAC recognized accreditation preferred.
1+ years’ experience with MCG, NCCN and/or Lexicomp.
Bilingual in Spanish preferred.
Bachelors degree preferred.

Education

Nursing diploma or Associates Degree in Nursing required.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $155,538.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

registered nurse case manager jobs in mi

Case Manager, Registered Nurse

Case Manager - Part Time - Days - West Bloomfield

Care Manager (RN) Remote (Detroit, MI)

Remote Behavioral Registered Nurse (RN)– Remote Care Manager

Case Manager-Ambulatory-Macomb

Case Manager - Part Time - Nights - West Bloomfield

Registered Nurse Case Manager (RNCM)

Registered Nurse / Case Manager – Hybrid $5000 Sign-on

Hospice Registered Nurse Case Manager (RN)

Hospice Registered Nurse Case Manager (RN)

Hospice Registered Nurse Case Manager (RN)

Registered Nurse (RN) Case Manager

Registered Nurse Care Manager

UM Case Manager/Appeals Coordinator

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

Care Manager- Registered Nurse [Hybrid]

RN Case Manager

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

Hospice RN Case Manager

Registered Nurse (RN) Case Manager

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