- Molina Healthcare (Ann Arbor, MI)
- …Utilization Management, Chief Medical Officer, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training, leadership and mentoring for less ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct...has been made or upon request by another Molina department to reduce the likelihood of a formal appeal… more
- Munson Healthcare (Traverse City, MI)
- …customer service/interpersonal skills 6. Monitors and sorts incoming communication to the Utilization Management and Appeals department , including faxes, ... verbal communication skills. ORGANIZATIONAL RELATIONSHIP . Report to the Manager of Utilization Management and works closely... Utilization Management and works closely with the Utilization Management and Appeals team . Interacts… more
- University of Michigan (Ann Arbor, MI)
- …to develop and implement a comprehensive, integrated discharge plan from the emergency department (ED). The RN Case Manager will recommend and document patient ... RN CASE MANAGER : University Hospital (Care Management) Apply Now **Job...of the interdisciplinary team in the inpatient and emergency department patient care areas. The position is unique in… more
- University of Michigan (Ann Arbor, MI)
- Care Manager Assistant - CMA (Part-time) Pavilion Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as ... and assist in daily case management operations, including: assist with utilization management workflow and payer contacts; assist with coordination of all… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under the direction of the Compliance Audit Manager , the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess ... coding compliance audits across all HFH Hospitals in accordance with the Department Work Plan and other audits identified by Compliance Management; Reviews… more