- Humana (Lansing, MI)
- …knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare...with Case managers or Care managers on complex case management, including familiarity with social… more
- Humana (Lansing, MI)
- …knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare...with Case managers or Care managers on complex case management, including familiarity with social… more
- Army National Guard Units (Lansing, MI)
- …supervised by The Adjutant General , or 1st GO at JFHQ with the Higher-Level Reviewer being TAG. Program and case management functions are evaluated by the SAPR ... perform the function of this role unless delegated. This position may perform case management functions to support a temporary surge or vacancy, in coordination with… more
- Datavant (Lansing, MI)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding and abstracting… more
- Henry Ford Health System (Grand Blanc, MI)
- …medications, and tests ordered are expeditiously carried out and documented. + Review patient medical record/reports and confers with physician regarding ... + Sign On Bonus: $4,500 + Department: Medical Nursing Pulmonary Unit (4S) + Schedule: Part-time,...+ Orientation Self-Evaluation: (C) Competent (NT) Needs Training or Review . - Standards of Performance: - Seven Domains of… more
- Sedgwick (Southfield, MI)
- …75063 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... based on the disability plan. + Reviews and analyzes complex medical information (ie attending physician statements,...employer. + Refers cases to team lead and clinical case management for additional review when appropriate.… more
- Datavant (Lansing, MI)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... of information related telephone calls and inquiries accurately and timely. + Review , research, resolve and respond to inquiries that are received via telephone,… more
- Select Medical (Battle Creek, MI)
- …as a resource for healthcare professionals through fostering relationships within medical facilities. With clinical expertise and problem-solving skills, you'll also ... Are** At Select Specialty/Regency Hospitals, a division of Select Medical , we care for chronically and critically ill or...decisions for their loved one. + Partner with hospital case managers and physicians to create a smooth pre-admission… more
- Datavant (Lansing, MI)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... and existing coders. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG… more
- Datavant (Lansing, MI)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... the buyer journey. You'll be a creative storyteller who can translate complex healthcare and technology concepts into clear, engaging narratives. This is an… more