RN Care Navigator: Care Management & Transitions

Corewell Health; Royal Oak (MI); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Comprehensive benefits package

On-demand pay program

Discounts directory with deals

Job summary

Corewell Health’s Royal Oak Hospital is seeking a dedicated Registered Nurse to join the Care Management team. You will integrate utilization review, care coordination and discharge planning to optimize patient flow and outcomes.

Primary responsibilities include reviewing admissions for medical necessity, coordinating care across inpatient and post-acute settings, and collaborating with physicians, payers and caregivers to ensure smooth transitions and cost-effective care.

Qualifications

• Bachelor's Degree in Nursing is required.
• 2–5 years of relevant experience in care management or utilization review is preferred.
• Michigan RN license required upon hire.

Responsibilities

• Identify patients needing care management services (utilization review, care coordination, discharge planning).
• Manage caseload to coordinate admission, stay and discharge across care settings.
• Collaborate with physicians, payers and interdisciplinary team to obtain authorization and ensure appropriate level of care.
• Communicate with patients/families about coverage and transitions.
• Document utilization reviews and care plans per policies and regulatory requirements.

Skills

Care coordination

Utilization review

Care planning

Critical thinking

Education

Bachelor's Degree in Nursing

Tools

InterQual

Medical necessity criteria

Job description

Corewell Health’s Royal Oak Hospital is seeking a dedicated Registered Nurse to join the Care Management team. You will integrate utilization review, care coordination and discharge planning to optimize patient flow and outcomes.

Primary responsibilities include reviewing admissions for medical necessity, coordinating care across inpatient and post-acute settings, and collaborating with physicians, payers and caregivers to ensure smooth transitions and cost-effective care.