- Corewell Health (Grosse Pointe, MI)
- …pm Job Summary Under the direction of the Patient Access Registration Front Line Manager , the Acute Care Hospital Registrar 1 is accountable to ensure a smooth ... information, educating and providing information as necessary. Collects and documents Medicare Questionnaire, issue Medicare Inpatient Letter & Medicare… more
- Molina Healthcare (MI)
- … Medicare /Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
- CenterWell (Lansing, MI)
- …Senior Primary Care's) highest need and complexity patients with care and case management services. The Director is response for the strategic direction, execution ... Transitions of Care Management (TCM) program, and Episodic Consult (single-use case specific offerings) programs designed to improve quality and reduce costs… more
- Banner Health (MI)
- …of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to formulate productivity standards, ... both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _*This...to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)… more
- Trinity Health (Ypsilanti, MI)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/Utilization Review personnel, as needed. Obtains and verifies ... by the Patient Access Lead. Other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State, and local laws and… more
- Molina Healthcare (Detroit, MI)
- …that involve clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal caseload as determined ... guidelines and support staff who have an ongoing member case load for regular outreach and management. + As...staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and… more
- Tenet Healthcare (Commerce Township, MI)
- …patients, families and other members of the Care Team, f) Complete tasks assigned by Case Manager and Social Work staff, g) Make copies, send faxes and complete ... b) Create and follow up on electronic referrals using the Tenet Case Management system, c) Review patient choice letters with patients/families for required… more
- Trinity Health (Farmington Hills, MI)
- …office staff, Patient Access, Medical Records/Health Information Management, Utilization Review/ Case Management, Managed Care, Ancillary and Nursing staff, as ... customer service inquiries. May prepare special reports as directed by the Manager to document billing and follow-up services (eg, Number of contacts, contact… more
- Molina Healthcare (Ann Arbor, MI)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
- Trinity Health (Howell, MI)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/Utilization Review personnel, as needed. Obtains and verifies ... by the Patient Access Lead. Other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State, and local laws and… more