- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' ... with resources appropriate for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker**… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Field Marketing Manager is responsible for leading and managing a high-performing team focused on driving ... Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional Information** **Humana Perks:** Full time associates enjoy:… more
- CVS Health (Kalamazoo, MI)
- …more compassionate. And we do it all with heart, each and every day. **Case Manager RN** WFH Flexible **Position Summary** Help us elevate our patient care to a ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...interdisciplinary case conferences + Utilizes case management processes in compliance with regulatory and company policies and procedures. +… more
- CVS Health (Warren, MI)
- …compassionate. And we do it all with heart, each and every day. **Case Manager Registered Nurse** WFH Flexible This role will be 25-50%% travel within **Wayne or ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...interdisciplinary case conferences + Utilizes case management processes in compliance with regulatory and company policies and procedures. +… more
- Prime Therapeutics (Lansing, MI)
- …passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business ... of the account, including P&L responsibility; and accountability for contract compliance .Accountable for developing and executing the strategic plan for their… more
- Molina Healthcare (Sterling Heights, MI)
- …programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes. + May engage and oversee ... years supervisory/management experience in a managed healthcare environment. + Medicaid /Medicare Population experience with increasing responsibility. + 3+ years of… more
- CVS Health (Coldwater, MI)
- …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... at interdisciplinary case conferences. + Utilizes case management processes in compliance with regulatory and company policies and procedures. + Utilizes… more
- Prime Healthcare (Port Huron, MI)
- …Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval(R) for Hospital ... Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience… more
- CVS Health (Dearborn, MI)
- …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... at interdisciplinary case conferences. + Utilizes case management processes in compliance with regulatory and company policies and procedures. + Utilizes… more
- McLaren Health Care (Flint, MI)
- We are looking for a MIG Manager Claims, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health… more