• Multi-Site Director Case…

    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
    Prime Healthcare (10/13/25)
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  • Medical Director - Medicaid N. Central

    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
    Humana (10/25/25)
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  • National Accounts Medical Director

    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
    Elevance Health (09/23/25)
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  • Medical Director - Medicaid Team - FL/SC

    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
    Humana (10/28/25)
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  • Registered Nurse - HBPC Program Director…

    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
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • Medical Director - Mid West Region

    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
    Humana (09/16/25)
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  • Director of Rehab - Occupational Therapist…

    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
    Genesis Healthcare (10/25/25)
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  • Medical Director , Medical…

    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
    Highmark Health (10/28/25)
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  • RN Education Specialist - Case…

    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
    Henry Ford Health System (08/07/25)
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  • Medical Director - OneHome

    Humana (Lansing, MI)
    …health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided ... guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests...the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management … more
    Humana (10/30/25)
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