- Molina Healthcare (Dearborn, MI)
- …RN license in the state of MI. This position will support our MMP ( Medicaid Medicare Population) will be supporting DSNP. This position will have a case load ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are… more
- Cardinal Health (Lansing, MI)
- …the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is expected ... fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding… 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 ... as some special proprietary applications** **Preferred Qualifications** + Certified Case Manager is preferred. **Education** + Registered Nurse with active MI state… more
- Molina Healthcare (Detroit, MI)
- …LBSW, LLMSW) in the state of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of the Personal Care Services team. This position ... **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license (LVN/LPN) OR… more
- Datavant (Lansing, MI)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the data strategy and ... and compliant onboarding and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard Data Specifications:** Develop… 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 ... health experience + Bilingual in Spanish or Arabic + Certified Case Manager + Additional national professional certification (CRC, CDMS, CRRN, COHN) + Excellent… 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 ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At least one… 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 ... experience. + Bilingual in Spanish or Arabic. + Certified Case Manager . + Additional national professional certification (CRC, CDMS, CRRN, COHN). **Educational**… more
- McLaren Health Care (Flint, MI)
- We are looking for a Manager , Quality, 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
- Datavant (Lansing, MI)
- …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid , Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient privacy… more