- State of Michigan (Lansing, MI)
- …for the Elderly (PACE) Organizations contracted to provide Health Care to Medicaid clients. Performs as communications liaison for DHHS assisting with evaluation, ... Organizations and network health care providers. Serves as an advocate in resolving any service problems that may occur....the operational capabilities of the PACE Organization as a Medicaid Provider. Performs duties to maintain the integrity of… more
- State of Michigan (Lansing, MI)
- …recovery efforts; preparing reports and correspondence seeking reimbursement of Medicaid expenditures from legally liable sources; designing, implementing, and ... recovery efforts; preparing reports and correspondence seeking reimbursement of Medicaid expenditures from legally liable sources; designing, implementing, and… more
- Lac Vieux Desert Northern Waters Casino Resort (Watersmeet, MI)
- …Assist patients in obtaining and maintaining health insurance, working with Medicare, Medicaid , private insurers, and social service agencies. * Monitor PRC ... eligibility , determine payment sources, and ensure Medicare-Like Rates are...in securing and maintaining appropriate coverage. * Experience with Medicaid , Medicare, Social Security, and private insurance. * Advocates… more
- Corewell Health (Grand Rapids, MI)
- …their health care expenses. By establishing relationships, they serve as a patient advocate and educator in order to assist in navigating through available resources ... to secure third party funding sources including, but not limited to Medicaid , Medicare, auto, workers' compensation, COBRA, crime victims compensation, access to… more
- R1 RCM (Marquette, MI)
- …when appropriate. Contact insurance carriers or other sources and act as an advocate for the patient. Initiate process for collecting prepays due and perform follow ... to meet their financial obligations. Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in… more
- State of Michigan (Lansing, MI)
- …oversight of various complex analytics used for decision making and to develop Medicaid policy, 2) manage and operationalize long term care special financing, 3) ... our environment and the public health; enforce state laws and regulations; advocate for children, families, and victims of discrimination; support our state's… more
- State of Michigan (MI)
- …survey and certification activities on behalf of the Centers for Medicare and Medicaid Services (CMS). The health care surveyor position performs surveys for covered ... Minimum Qualifications Test (SMQT) in accordance with the Centers for Medicare and Medicaid Services' standards and procedures. All positions must abide by state law… more
- Actalent (Grand Blanc, MI)
- …Coordinate seamless and safe transitions between care settings for patients. + Advocate for appropriate delivery of services within the patient's health plan benefit ... guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations, and case management principles. + Understanding of social… more
- CVS Health (Lansing, 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 ... Our Care. Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and… more
- R1 RCM (Detroit, MI)
- …+ Work with Case Management, Clinical staff, and outside agencies to determine eligibility , secure coverage, and advocate for patients. + Track authorizations ... and eligibility for services, alert appropriate staff to potential delays, and perform other assigned duties. **Required Skills:** + High School Diploma or GED, preferred. + 0-1 years of hospital experience For this US-based position, the base pay range is… more