- Trinity Health (Grand Haven, MI)
- …condition as appropriate and in a timely manner, to the client's physician and/or Case Manager /designee and obtains orders for changes in the plan of treatment ... nursing, therapy (physical, occupational, speech) and medical social work. We are Medicare -certified and accredited by The Joint Commission. Learn more about us at… more
- Highmark Health (Lansing, MI)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges… more
- Centene Corporation (Lansing, MI)
- …Health Counselor (LMHC), or Licensed Marital and Family Therapist (LMFT). Certified Case Manager (CCM) preferred.Pay Range: $55,100.00 - $99,000.00 per year ... of experience in Managed Care (UM, BH, CM) preferred. Familiarity with Medicare and Medicaid programs preferred. **Licenses and Certifications:** A license in one… more
- Corewell Health (Watervliet, MI)
- …aspects of IRF-PAI tool including transmission of records to the Centers for Medicare and Medicaid Services (CMS) and other insurances as needed. Monitor and educate ... audits and quality review duties as assigned by Administrator or Rehab Manager /Director. Responsible for the generation, interpretation and analysis of reports. +… more
- ChenMed (Detroit, MI)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be… more