- University of Michigan (Ann Arbor, MI)
- …of a state controlled substance license is necessary. + Demonstrated ability to collaborate clinical care ideas across multiple patient care services and to ... clinical pharmacy services (disease management and comprehensive medication review ) in collaboration with providers in ambulatory sites affiliated with… more
- Molina Healthcare (Detroit, MI)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Preferred Experience** 3-5 years clinical practice with managed care , hospital nursing, utilization and/or ... assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...illness and the site of service. The Lead, HCS ( Clinical ) functions as clinical staff lead in… more
- Prime Therapeutics (Lansing, MI)
- …an integral member of our account team. You will be responsible for all clinical products, formulary, and UM strategies.** The Clinical Account Director ... years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at...$124,000.00 - $211,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
- University of Michigan (Canton, MI)
- …MM Amb Care Admin **Posting Begin/End Date** 7/11/2025 - **Career Interest** Patient Care Clinical Support (MA, Tech) Patient Care Services Apply Now ... Medical Assistant - Clinical Apply Now **Job Summary** Working at Michigan...considered for openings in the following areas:** + Primary Care (Adult, Pediatric, and Geriatric populations) and other clinically-based… more
- Molina Healthcare (MI)
- …other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- CVS Health (Lansing, MI)
- …Health Care Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM (Utilization Management) experience *Active and current state ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care...As a Medical Director you will focus primarily on review appeal cases for denied medical services. This includes… more
- McLaren Health Care (Pontiac, MI)
- …treatment. 6. Documents future discharge needs in EMR for continued communication with ICM UM RN and Care Management staff 7. Assesses if follow up treatment, ... Bachelor's degree in nursing + Experience in utilization management/case management/ clinical documentation, critical care , or patient outcomes/quality management… more
- Corewell Health (Farmington Hills, MI)
- …and discharge planning of all hospitalized patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; ... Required + 3 years of relevant experience Three to five years' experience in care management, utilization review , home care and/or discharge planning.… more
- University of Michigan (Ann Arbor, MI)
- Instrument Coordinator- Clinical Apply Now **Job Summary** This position will be the key point of contact for the Clinical department customers who require ... service level agreement with new customers, to include: + Aiding customers in the review of instrument IFU's + Providing guidance to customers on the procurement of… more
- CVS Health (Lansing, MI)
- …engagement and enablement. 4. Have oversight of the design, development, and deployment of Care Models and review medical care provided to Enrollees and ... support compliance activities and support accreditation activities. 5. Supporting the UM team in predetermination reviews and providing clinical , coding,… more