RN Team Leader: Utilization & Care Coordination

Blue Cross Blue Shield of Michigan; Detroit (MI); On-site; USD 90,000 - 130,000; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking an experienced nurse leader to plan, coordinate, and supervise utilization management activities. You will coordinate with Medical Consultants, Directors, and providers to develop care plans and improve patient outcomes.

The role requires an RN license in Michigan, 3–6 years of clinical experience, and 2 years of supervisory oversight with strong analytical and communication skills. On-site presence and travel may be required to support facilities.

Qualifications

• Associate Degree in Nursing or RN Diploma required; Bachelor’s degree preferred.
• 3–6 years of clinical experience and 2 years of supervisory experience.
• RN license in Michigan or eligibility for licensure.
• Strong organizational and communication abilities; capacity to coach staff.
• Knowledge of utilization management practices and guidelines preferred.

Responsibilities

• Assist and supervise assigned department activities to ensure efficient operations.
• Collaborate with Medical Consultants and Health Care Providers to develop treatment plans.
• Supervise staff development, planning, and time management; drive project improvements.
• Review data on care plans, assess goals, and monitor performance metrics.
• Interface with internal and external stakeholders to resolve issues and inquiries.

Skills

Interpersonal skills

Organizational skills

Communication skills

Staff coaching

Team leadership

Conflict resolution

Change management

Problem solving

Education

Associate Degree in Nursing

Bachelor’s degree preferred

Tools

PC applications

Mainframe systems

Job description

Blue Cross Blue Shield of Michigan is seeking an experienced nurse leader to plan, coordinate, and supervise utilization management activities. You will coordinate with Medical Consultants, Directors, and providers to develop care plans and improve patient outcomes.

The role requires an RN license in Michigan, 3–6 years of clinical experience, and 2 years of supervisory oversight with strong analytical and communication skills. On-site presence and travel may be required to support facilities.