- Molina Healthcare (MI)
- …or have a compact license._ _This position will support our UT Medicaid & Marketplace Population. Excellent computer multi-tasking skills and good productivity is ... Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as specialties in: surgical,… more
- Gentiva (Greenville, MI)
- …relationships with supportive care team (eg, Social Worker and RN Care Manager ), as applicable, and involve team (internally and externally) when patient's care ... patient may be appropriate for home health or hospice care; Medicare/ Medicaid regulations; and interdisciplinary process; value based and/or accountable organization… more
- Marshfield Clinic (Marquette, MI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... of the following: + Graduate of a Medical Assistant program + Documented successful completion of the following courses...Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- Fresenius Medical Center (Flint, MI)
- …working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient ... measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.… more
- Fresenius Medical Center (Ypsilanti, MI)
- …working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient ... measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.… more
- Marshfield Clinic (Iron Mountain, MI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... Accreditation._ **Minimum Required:** None **Preferred/Optional:** Completion of an EMT program or equivalent level of completion in an LPN...Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Principal Specialist has an important role in a high-profile group tasked with ... of patient care to final bill generation. Under minimal supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue… more
- Henry Ford Health System (Troy, MI)
- Reporting to the CDM Manager , the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM), including being responsible for the ... in POC or TST and updates fee schedule rates in POC for CDM Manager 's review. 11.Provides quality control check and audits that expected CDM changes have properly… more
- CenterWell (Lansing, MI)
- …CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general ... teams to manage all aspects of ACO operations including program administration, contract oversight, process, performance improvement, compliance, governance,… more
- Marshfield Clinic (Iron Mountain, MI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... from the effective date of awarded position (per section 19.05).** + Manager is waiving experience requirement and posting as training opportunity.** **Marshfield… more