- Humana (Lansing, MI)
- …assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational ... committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of… more
- Corewell Health (Grand Rapids, MI)
- …and procedures in accordance with federal and state guidelines. + Oversee the grievance process and ensure timely resolution of member issues. + Ensure execution of ... HIDE SNP contract requirements, including MDHHS LTSS performance measures, person-centered planning, and timely reassessments. + Lead readiness and response for state and CMS audits (eg, MI Health Link, SNP MOC). + Ensure continuity of care during provider or… more
- State of Michigan (Jackson, MI)
- …(HUM)/Administrator. Completion of service ratings, counseling, participation in the grievance process, participation in hiring, and disciplinary process of staff. ... In addition, the employee is responsible for assuring the quality of patient care through appropriate intra shift supervision and inter-shift communication and provides direct patient care. Works 100% within the secure perimeter of a maximum-security… more