- AmeriHealth Caritas (Detroit, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... LTSS Care Coordination Operations. Under the supervision of the Manager LTSS, the Supervisor, Medicare LTSS Operations is responsible to provide operational… more
- Molina Healthcare (Sterling Heights, MI)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America ... new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified… more
- Henry Ford Health System (Detroit, MI)
- …clinical and case management techniques. Additional Information + Organization: Community Care Services + Department: 2nd Avenue Dialysis + Shift: Day Job + ... medical knowledge to provide renal patients the highest quality care available. We have been part of the community...are made through several shift designs. Patients are medically managed by 9 Nephrologist and 2 Full Time Advanced… more
- Integra Partners (Troy, MI)
- …degree preferred. + minimum of 2 years of experience in Utilization Management (UM), managed care , or healthcare operations, preferably in a payor setting. + ... limited to: + Supervises UM Coordinators (UMCs) who are responsible for intake, case creation, data entry, and letter generation. + Monitors daily queues, workloads,… more
- CDM Smith (Sterling Heights, MI)
- …demands. **Preferred Qualifications:** * SAM, CSAM (Certified Software Asset Manager ), or SAMS (Software Asset Management Specialist) certifications preferred. * ... Management tools, such as ServiceNow SAM, Flexera, Snow License Manager , or Certero. * Strong background in software license...Where it's a priority that the company takes good care of you and your family. Our employees are… more
- Molina Healthcare (Ann Arbor, MI)
- …experience in health care , including 2 years' experience in a managed care environment facilitating utilization reviews, or equivalent combination of ... + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or… more
- TEKsystems (Flint, MI)
- …department and documents the call in the appropriate systems. 2. Educates beneficiaries on managed care or other DCH programs. 3. Verifies enrollment and case ... beneficiaries in enrolling/disenrolling in plans, and in selecting a Primary Care Provider, including entering enrollments into the appropriate system. Answers… more
- Molina Healthcare (MI)
- …and plan location. **Preferred Experience** + Medicare Part D or Medicaid experience. + Managed care experience. To all current Molina employees: If you are ... changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary... Management department as part of a member-centered interdisciplinary care team. + Works with the PBM to manage… more
- Brink's (Lansing, MI)
- …of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, ... grow within Brink's, with potential paths including becoming a Sales Manager . Day-to-day responsibilities include: + Identify and develop sales opportunities with… more