- Prime Healthcare (Port Huron, MI)
- …our commitment to creating a positive and supportive work environment. Responsibilities The Regional Director of Case Management will be responsible for the ... https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229153/multi-site- director - case - management… more
- McLaren Health Care (Flint, MI)
- …Assumes responsibility for the clinical administrative aspects of utilization review and case management . Integrates medical management processes with all ... We are looking for a Director , Medical Management , to join us...policies and procedures as well as documentation of the case management and utilization management … more
- Humana (Lansing, MI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Elevance Health (Dearborn, MI)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews ... ** is responsible for serving as the Operational Medical Director for our care management models for...clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- Humana (Lansing, MI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …demonstrate leadership, experience, and creative approaches to complex patient care management .The HBPC Registered Nurse Program Director /Manager is an expert ... disciplines included on the HBPC teams. The HBPC Program Director reports directly to the ACOS GEC Service...their team members. He/she collaborates with the HBPC Medical Director for daily program management . He/she collaborates… more
- Humana (Lansing, MI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... background, experience, and judgement to make determinations whether requested services , level of care, and/or site of service... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Genesis Healthcare (Midland, MI)
- …Assumes responsibility for the efficient and profitable management of rehabilitation services in assigned site(s) of service . 2. Provides direct patient ... account(s). This position also assists in integration of rehabilitation services in all settings. The Director of... of the rehab department, including oversight related to case management , quality improvement, care planning, clinical… more
- Henry Ford Health System (Detroit, MI)
- …customer-oriented, educational programs that are aimed at improving the quality of case management . Provides direction and consultation to Case ... GENERAL SUMMARY: Under the direction of the department director , the Education Specialist assesses, designs, and evaluates...Work. + Five (5) years of clinical experience. + Case management experience required, including experience in… more
- Highmark Health (Lansing, MI)
- …be required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication ... medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case...as the physician member of the multidisciplinary team for case and disease management . They will advise… more