- Humana (Lansing, MI)
- …clinical professional responsible for conducting comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall ... the consumer experience **Preferred Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review **Additional… more
- Humana (Lansing, MI)
- …or provider-based industry + Knowledge and experience in health care /managed care regulatory environment **Additional Information** To ensure Home or Hybrid ... ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office employees must meet...a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours**… more
- Humana (Lansing, MI)
- …policies, and procedures that provide the best and most appropriate treatment, care , or services for Enrollees. The Utilization Management Nurse Lead coordinates and ... with Providers, Enrollees, or other parties to facilitate optimal care and help drive quality outcomes for Humana's dual...Up to 5 associates. **WAH Internet Statement** To ensure Home or Hybrid Home /Office employees' ability to… more
- Humana (Lansing, MI)
- …or related field;work experience may meet this need + 5 + years managed care experience + 5 + years in Medicaid program implementation or healthcare operations, with ... Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
- Humana (Lansing, MI)
- …and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and ... advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
- Humana (Lansing, MI)
- …you'll enable Humana leaders as they leverage modern technology to deliver health care and insurance for patients and members. Our team operates at the evolving ... digital transformation experience + Health insurance, provider, and/or integrated health care experience + Experience working with/in large organizations + Business… more
- Corewell Health (Grand Rapids, MI)
- …scheduling of admissions, diagnostic evaluations, follow-up exams, laboratory tests, referrals to home care , social services, and other community agencies, etc., ... the staff working in this area have received extensive training in the complex care of these...future. HDVCH is a state-of-the-art , globally integrated, 241-bed free standing dedicated children's hospital located on the campus… more
- Corewell Health (Troy, MI)
- …the Surgical ICU. Additionally APPs will have a secondary focus on Pulmonary/Critical Care Medicine. Training for this service will include initial orientation, ... retirement plans, disability insurance, identify theft protection and even home and auto insurance + Free onsite...disease process, and plan of care , preventive care and health promotion. STANDARD QUALIFICATIONS: A. Education/ Training… more
- Munson Healthcare (Grayling, MI)
- …+ As a non-profit healthcare system, Munson Healthcare provides $65 million in health care programs and education, as well as free discounted and unreimbursed ... opportunity for a BC/BE pediatrician to join our practice and enhance health care for children in our community. Our Pediatric practice offers evidence-based and… more
- Corewell Health (Benton Harbor, MI)
- …bonus available About Homecare Corewell Health South Homecare provides the highest quality in- home care to those who need short-term assistance with daily life, ... more meaningful interactions with patients. We offer flexible scheduling, training , and a rewarding career caring for patients where...center, a regional cancer center, rehabilitation centers, two long-term care residences, home care and… more