- Integra Partners (Troy, MI)
- …Experience as a health plan medical director + Experience with DMEPOS UM programs , MLTC, Medicaid, or Medicare Advantage + Experience chairing or ... Strategic and Operational Leadership + Collaborate with the SVP of Operations, UM Director , Credentialing leadership, and other internal teams to drive… more
- Integra Partners (Troy, MI)
- …inter-rater reliability and participate in periodic calibration reviews to support consistency across the UM program . + Serve as a clinical resource for UM ... The Utilization Review Medical Director is responsible for conducting clinical reviews of...(DME) and related requests to support Integra's Utilization Management ( UM ) operations. This full-time, salaried role functions within a… more
- University of Michigan (Ann Arbor, MI)
- …concurrent and retrospective evaluation of patient care consistent with the hospital quality assurance program . Through this review process, evaluate and ... the American Nurses Credentialing Center (ANCC). See full listhere (https://www.nursingworld.org/organizational- programs /magnet/ program -tools/accepted-certifications/) NOTE: In order to be considered… more
- University of Michigan (Ann Arbor, MI)
- Director of Financial Operations Apply Now **How to Apply** + A cover letter and resume are required for consideration for this position. The cover letter should be ... seeking a dynamic, strategic, and enthusiastic leader to serve as our next Director of Financial Operations. This is an exciting opportunity for an experienced… more
- Molina Healthcare (Sterling Heights, MI)
- …ability to learn new programs . Preferred Qualifications * Experience with utilization/ quality program management. * Managed care experience. * Peer review ... the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines appropriateness… more
- Integra Partners (Troy, MI)
- …call center and other internal & external sources + Other duties as assigned by UM Director + Strong organizational skills, ability to adapt quickly to change ... UM Coordinator assists and supports the clinical team ( UM Nurses/Medical Director ) with administrative and non-clinical...plus Benefits Offered + Competitive compensation and annual bonus program + 401(k) retirement program with company… more
- Corewell Health (Grand Rapids, MI)
- …in and guide population health initiatives including disease burden, value of UM /CM/ Programs , care management delegation when warranted, equity, SDOH, clinically ... and aligns with the overall Corewell Health system goals, including quality , affordability, equitable, safety and member experience. This position provides… more
- University of Michigan (Ann Arbor, MI)
- …to mentor and precept pharmacy residents within the Department's post-graduate educational programs . Quality Improvement + Develop and implement quality ... successful completion and submission of the following: + Completed application via the UM Careers website + Letter of intent + Updated curriculum vitae **Job… more
- University of Michigan (Ann Arbor, MI)
- …to the Clinical Nursing Supervisor, Manager of the Psychiatric Emergency Department, Medical Director of PES and has a functional relationship with the Director ... Paid Time Off Allowances Robust Tuition and Certification support programs Large offering of no cost CEs and professional...for age and physical condition. + Liaison with other UM Health System nurses in coordination of care. +… more
- University of Michigan (Ann Arbor, MI)
- …join our administrative team and serve as Administrative Assistant to the Director . Additional duties include assisting the manager and supervisors providing all HR ... skills, problem solving ability, excellent planning and follow-through, high quality writing skills, outstanding customer service and diplomacy, accuracy and… more
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