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Full Time Rn Case Review Jobs in Michigan (NOW HIRING)

Nurse Case Manager (RN)

Flint, MI · On-site

$72K - $111K/yr

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Review. * Shift(s) available: day shift * Job types available: full time, part time, and per diem

Nurse Case Manager (RN)

Davison, MI · On-site

$72K - $111K/yr

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Review. * Shift(s) available: day shift * Job types available: full time, part time, and per diem

Nurse Case Manager (RN)

Flint, MI · On-site

$72K - $111K/yr

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Review. * Shift(s) available: day shift * Job types available: full time, part time, and per diem

Nurse Case Manager (RN)

Davison, MI · On-site

$72K - $111K/yr

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Review. * Shift(s) available: day shift * Job types available: full time, part time, and per diem

Nurse Case Manager (RN)

Flint, MI · On-site

$72K - $111K/yr

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Review. * Shift(s) available: day shift * Job types available: full time, part time, and per diem

Nurse Case Manager (RN)

Davison, MI · On-site

$72K - $111K/yr

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Review. * Shift(s) available: day shift * Job types available: full time, part time, and per diem

Description RN Case Manager | Home Visits, Grand Rapids Area Join Our Team as an RN Case Manager for Home Visits in the Grand Rapids Area. Atrio Home Care, the partnership of Holland Home, Brio and ...

Showing results 21-40

Full Time Rn Case Review information

What is the difference between Full Time Rn Case Review vs Full Time Rn Utilization Review Nurse?

AspectFull Time Rn Case ReviewFull Time Rn Utilization Review Nurse
CertificationsRN license, case review certificationsRN license, utilization review certifications
Work EnvironmentHospitals, clinics, insurance companiesInsurance companies, healthcare organizations
Employer & Industry UsageUsed in patient case management and insuranceUsed in insurance authorization and medical necessity review

Both roles require RN licensure and involve reviewing patient information. The Case Review focuses on evaluating individual patient cases for treatment appropriateness, while the Utilization Review Nurse assesses overall medical necessity for insurance coverage. Understanding these distinctions helps job seekers find the right fit based on their skills and career goals.

Are registered nurse case review managers in demand?

Registered nurse case review managers are in demand due to the growing need for healthcare quality assurance and utilization review. They typically require strong clinical knowledge, case management skills, and relevant certifications, with employment opportunities increasing in healthcare organizations and insurance companies.

How to become a full time RN case review?

To become a full-time RN case reviewer, you typically need a valid registered nurse (RN) license, relevant clinical experience, and knowledge of medical records and insurance processes. Additional certifications in case management or healthcare quality may enhance job prospects, and strong communication and analytical skills are essential for reviewing patient cases effectively.

What cities in Michigan are hiring for Full Time Rn Case Review jobs?

Cities in Michigan with the most Full Time Rn Case Review job openings:

Case Manager Registered Nurse

Henry Ford Health

Detroit, MI

Full-time

Posted 11 days ago


Henry Ford Health rating

7.0

Company rating: 7.0 out of 10

Based on 575 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers


Job description

Company Description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.
Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact.
Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all.

Job Description

2-year RN Case Management experience if ADN 

Must have experience working inpatient in a large acute care hospital.

Full-Time Benefit Eligible

Shift: Days

GENERAL SUMMARY:

The Case Manager-RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This position requires strong clinical judgment, excellent communication skills, and a deep understanding of healthcare systems. The Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize patient outcomes and promote efficient resource utilization. 

What makes a successful RN Case Manager? The skills of the inpatient RN Case Manager are challenging to ascertain proficiency, therefore, if an applicant has recent acute inpatient hospital experience within the last 2 years, they are more successful in transitioning into our RN Case Management role.

Clinical Care Coordination:

  • Conduct comprehensive patient assessments to identify individualized needs and develop personalized care plans.
  • Collaborate with the healthcare team to ensure timely and appropriate interventions, including specialty consultations and referrals.
  • Monitor patient progress, identify potential barriers to care, and implement strategies to address them proactively.
  • Facilitate patient education and support to empower patients and families in their healthcare decisions.

Discharge Planning:

  • Develop and implement comprehensive discharge plans that address the patient's physical, social, and financial needs.
  • Coordinate with community resources and post-acute care providers to ensure a smooth transition of care.
  • Advocate for patients' rights and ensure access to necessary services and support.

Quality Improvement:

  • Analyze patient outcomes and identify opportunities for improvement in care processes.
  • Participate in quality improvement initiatives and contribute to the development of best practices.
  • Stay updated on relevant regulations, guidelines, and industry trends to ensure compliance and optimize care delivery.

Interdisciplinary Collaboration:

  • Collaborate effectively with physicians, nurses, social workers, therapists, and other healthcare professionals to deliver coordinated care.
  • Facilitate communication and information sharing among team members to ensure optimal patient outcomes.
  • Build strong relationships with community partners to support patient needs beyond the hospital setting.

By joining our team as a Case Manager-RN, you will have the opportunity to make a significant impact on the lives of patients and their families. Your expertise in clinical care, discharge planning, and quality improvement will be instrumental in ensuring that patients receive the highest care.

Qualifications

EDUCATION/EXPERIENCE REQUIRED:

Education:

  • Bachelor's degree in Nursing (BSN) is preferred.
  • Associate's degree in Nursing (ADN) with at least two years of acute care case management experience is acceptable.
  • ADN candidates must enroll in an accredited BSN program within three years of hire and complete it within five years.

Experience:

  • Minimum of three years of recent acute care nursing experience.
  • Prior case management experience is highly preferred.

Certifications:

  • Certification in Case Management (CCM) by the Commission for Case Management Certification or Accredited Case Manager (ACM) by the American Case Management Association is required within one year of hire.


What Henry Ford Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Henry Ford Health logo

About Henry Ford Health

Sourced by ZipRecruiter

Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915