- Molina Healthcare (MI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area;...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in… more
- Molina Healthcare (Battle Creek, MI)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of MI. This position will support our MMP (Medicaid Medicare Population) will be supporting DSNP. This position will...will be supporting DSNP. This position will have a case load and manage members enrolled in this program.… more
- Datavant (Lansing, MI)
- …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Humana (Lansing, MI)
- …you will be required to be screened for TB. **Preferred Qualifications** + Certified Case Manager (CCM) + Previous experience working in a managed care field ... a part of our caring community and help us put health first** The Manager , Care Management leads teams of nurses and behavior health professionals responsible for… more
- Humana (Lansing, MI)
- …an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare /Medicaid members.** The Field Care Manager Nurse 2 employs a variety of ... environmental, and psycho-social health issues. **Position Responsibilities:** + The RN Field Care Manager will be responsible for managing a case load and… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity. This role is ... with specific expertise in healthcare payment and reimbursement. The Payment Integrity Manager is responsible for managing staff and associated activities to ensure… more
- Humana (Lansing, MI)
- …put health first** We're looking for a strategic and forward-thinking Lead Product Manager to shape and deliver impactful clinical solutions for our members and ... vision and strategy to execution and optimization. As a Lead Product Manager , you will work across multidisciplinary teams including design, engineering, clinical,… more
- Molina Healthcare (Ann Arbor, MI)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... more years in one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum 2 years of healthcare… more
- Option Care Health (Farmington Hills, MI)
- …Care and externally with customers (ex. medical director, head of case management, executive c-suite individuals). **Travel Requirements** **: (if** **required)** + ... Basic understanding of billing and reimbursement procedures for hospital, medical offices, and Medicare (B/D + benefits) as well as medical offices. + One year… more
- CVS Health (Lansing, MI)
- …best course of action to take in a timely and effective manner. Conducts case reviews and provides feedback to investigators on completeness and quality of the ... in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and written communication… more