- CenterWell (Lansing, MI)
- …location lookup, directions, and complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical ... Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all… more
- CenterWell (Lansing, MI)
- …with senior leaders to ensure strategic alignment. + Prioritize initiatives based on business impact, customer feedback, and market trends. **Stakeholder ... in a clinical or in-practice role (eg, Center Administrator, Front Office, Scheduling, Medical Assistant, Physician, or Physician Extender). + Two or more years of… more
- Humana (Lansing, MI)
- …+ Automation experience. + Proficiency in understanding Healthcare related data. **Additional Information ** To ensure Home or Hybrid Home /Office employees' ... generates ad hoc reports and regular datasets or report information for end-users using system tools and database or...independent determination of the appropriate courses of action. The In- Home Health and Wellbeing assessment team is seeking a… more
- Humana (Lansing, MI)
- …experience + Clinical documentation improvement knowledge (CDE, CDEI certification) **Additional Information ** **Work at Home Requirements** * At minimum, a ... The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete,… more
- Humana (Lansing, MI)
- …protect member PHI / HIPAA information + Travel up to 10% for critical/ home -office based meetings. Travel: While this is a remote position, occasional travel ... and help us put health first** Humana's OCMO (Office of Chief Medical Officer) is seeking an accomplished senior level technical/applications Architect to join… more
- Humana (Lansing, MI)
- …+ Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information ** **Work-At- Home Requirements:** To ensure Home or Hybrid ... community resources in a telephonic, call center, work from home environment. This role does not carry a caseload...of experience working as a social worker in a medical healthcare setting + Proficient in Microsoft applications including… more
- CenterWell (Lansing, MI)
- …across CenterWell Call Centers, Pharmacy operations, Primary Care Clinics, and Home Health services. This position will integrate advanced and predictive analysis, ... lines of business. The role ensures capacity strategies are forward-looking, scenario- based , and aligned to evolving care models, regulatory requirements, and growth… more
- Humana (Lansing, MI)
- …programs that influence providers, members or market leadership towards value- based relationships and/or improved quality metrics. The Senior Program Delivery ... role in driving seamless data integration and collaboration within the In- Home Health and Wellbeing Assessment (IHWA) team and across interoperability initiatives.… more
- Humana (Lansing, MI)
- …strategy with Coding educator and leader, tailor's provider group webinars and discussions based on various Risk Adjustment topics. **Use your skills to make an ... Professional Coder) Certification + 2 or more years of medical record review knowledge + 2 or more years...data to build unique education strategies in PowerBi **Additional Information ** **Department Hours: 7am to 5pm EST** Work at… more
- Humana (Lansing, MI)
- …first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes ... pharmacy operations directly with the plan Chief Executive Officer and Chief Medical Officer. POSITION RESPONSIBILITIES: + Keeps current with State and Federal… more