- CVS Health (Kalamazoo, MI)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. + Visiting ... do it all with heart, each and every day. ** Case Manager RN** WFH/Field **Position Summary** Help us elevate...and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and… more
- CVS Health (Lansing, MI)
- …and coordinating all case management activities with members to evaluate the medical needs of the member and to help facilitate the member's overall wellness. - ... and no holidays; however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing,… more
- CVS Health (Lansing, MI)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Develops a ... and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and...member's overall wellness. + Uses clinical tools and information/data review to conduct an evaluation of member's needs and… more
- CVS Health (Lansing, MI)
- …in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Samaritas (Grand Rapids, MI)
- Position Details Be the Advocate They Deserve: Case Manager - Unaccompanied Children West Michigan| $49,920/year + Competitive Benefits| ️Full-Time Are you ... toward safety, healing, and hope. What You'll Do: + Providetrauma-informed case managementand social work services + Conduct and documentORR assessmentsin compliance… more
- Marshfield Clinic (Marquette, MI)
- …most exciting missions in the world!** **Job Title:** Social Work Case Manager **Cost Center:** 603321005 Marquette MI-Administration **Scheduled Weekly Hours:** 40 ... (United States of America) **Job Description:** **JOB SUMMARY** The Social Work Case Manager, in partnership with physicians, nursing, and healthcare team members,… more
- Evolent (Lansing, MI)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Henry Ford Health System (Warren, MI)
- …+ Bachelor of Science Nursing required OR four (4) years Case Management/ Appeal/Utilization Management experience in lieu of bachelor's degree. ... of services - from primary and preventative care to complex and specialty care, health insurance, a full suite...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- Humana (Lansing, MI)
- …team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, ... quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will...with Case managers or Care managers on complex case management, including familiarity with social… more
- CenterWell (Lansing, MI)
- …knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and use of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management, including familiarity with social determinants of… more