- CVS Health (Lansing, MI)
- …+ Behavioral health experience + Bilingual in Spanish or Arabic + Certified Case Manager + Additional national professional certification (CRC, CDMS, CRRN, COHN) ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical… more
- Hospice of Michigan (Paw Paw, MI)
- …Workplace Safety Program. + Understands and complies with Hospice Medicare and Medicaid conditions of participation. + Complies with applicable local, federal and ... and values. + Familiar with various reimbursements and the implications for case management. + Good internal and external organizational sensitivity. + Strong… more
- Humana (Lansing, MI)
- …our caring community and help us put health first** The Care Manager , Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, ... 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical… more
- Molina Healthcare (Clinton Township, MI)
- …who must live and have a current active unrestricted RN license in the state of OH Case Manager RN will work in remote and field setting supporting Medicare and ... Medicaid l health population. This role will be supporting...navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina… more
- Elara Caring (Rochester Hills, MI)
- …Care, at the Right Time, in the Right Place. **Job Description:** **Care Team Manager ** Full-Time | 9AM - 6PM Bingham Farms, Michigan At Elara Caring, we believe ... day, right where they live. As a **Care Team Manager ** , you'll play a key role in leading...Caring requirements + Foster positive relationships with clients, families, case managers, and community partners + Actively participate in… more
- Cognizant (Lansing, MI)
- **Health Payer Business Analyst, Senior Consulting Manager ** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... a small-to-medium team of consultants through client engagement, analysis, business case development, and the development of focused and contextual solutions *… more
- Datavant (Lansing, MI)
- …productivity and quality.** + Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and return on investment ... train other junior analysts in support of their direct manager What you will bring to the table: +...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- R1 RCM (Marquette, MI)
- …programs for patients unable to meet their financial obligations. Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency ... completing assistance program applications and determine eligibility and coverage. Notify manager , physician and servicing department of possible delay of service… more
- McLaren Health Care (Charlevoix, MI)
- …reporting census information asrequested. + Consults with residents, families,the DHHS case manager , and resident attorneys to identify appropriateinsurance ... plans for billing, ensures documentation is complete, and ensuresthe Medicaid approval process is acquired within the time allowed. + Audit Admissions, Social… more
- Molina Healthcare (Detroit, MI)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... leadership and quality improvement teams. * Facilitates conformance to Medicare, Medicaid , NCQA and other regulatory requirements. * Reviews quality referred issues,… more