- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services… more
- Evolent (Lansing, MI)
- …Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We ... Vascular cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Evolent (Lansing, MI)
- …Doing:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical ... and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… more
- Evolent (Lansing, MI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. ... Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically… more
- Evolent (Lansing, MI)
- …Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, ... when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD review… more
- Humana (Lansing, MI)
- …health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of moderately complex ... our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The… more
- Humana (Lansing, MI)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to ... well as a focus on collaborative business relationships, value based care, population health, or disease or care management....Information ** Typically reports to a Lead, or Corporate Medical Director, depending on size of region or line… more
- State of Michigan (Kalamazoo, MI)
- …and Experience Education Possession of an associate's degree in health information or medical record technology. CERTIFICATES, LICENSES, REGISTRATIONS: ... as a Registered Health Information Technician or Registered Health Information Administrator. Experience Medical Record Examiner 8 No specific type… more
- Hart Medical Equipment (Clinton Township, MI)
- Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care ... with the highest standards. We are a nationally accredited, premier provider of home medical equipment and supplies. Status: Full Time Location: Macomb (located… more
- Henry Ford Health System (Grand Blanc, MI)
- …care in conjunction with patient/family. + Initiate Problems and Outcomes list (plan-of-care) based on medical diagnosis and patient needs. + Monitor, document, ... RN Registered Nurse - Medical Nursing Pulmonary Unit - Full Time Nights...culture, preferences, and expressed needs. Assesses patient/family needs for information and education across the continuum, plans and implements… more