- CVS Health (Lansing, MI)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... in accordance with contract. + Process claim referrals, new claim handoffs, nurse reviews, provider complaints, grievance and appeals via target system. + Assists… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …5 years of sales or business development experience in healthcare services, medical technology, or payer/provider solutions. + Proven track record of account ... backgrounds (eg licensed therapists, clinical psychologists, behavioral health specialists, Nurse Practitioners and Physician Assistants in behavioral health, etc.)… more
- Sedgwick (Lansing, MI)
- …Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely ... are driven to deliver great work. + Apply your medical /clinical or rehabilitation knowledge and experience to assist in...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager _As required by law, Sedgwick provides a… more
- Sedgwick (Detroit, MI)
- …Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely ... are driven to deliver great work. + Apply your medical /clinical or rehabilitation knowledge and experience to assist in...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager Sedgwick is an Equal Opportunity Employer and… more
- Morley (Lansing, MI)
- …reliably, as some queues are time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health ... your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals +...+ Teladoc: 24/7 online access to doctors + 24/7 nurse help desk + Patient advocacy: Free 24/7 help… more
- Public Consulting Group (Lansing, MI)
- …and on a team. + Proven working experience in case management, including as a nurse , medical , mental health care manager or a related job + Excellent knowledge ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more
- AmeriHealth Caritas (Detroit, MI)
- …Care Coordinator manages care coordination for Medicare beneficiaries with complex medical , behavioral health, Long-Term Services & Supports (LTSS), and psychosocial ... including home- and community-based programs. + Collaborate with the Medical Director and care team to develop and monitor...+ Address service issues and assist with provider or claims -related problem-solving. + May oversee tasks assigned to other… more
- CVS Health (Lansing, MI)
- …implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. * ... * Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that… more
- Morley (Lansing, MI)
- …more time for you. + Receive a steady paycheck and excellent benefits including medical , dental, vision and life insurance; 401(k) with match; paid time off; paid ... your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals +...+ Teladoc: 24/7 online access to doctors + 24/7 nurse help desk + Patient advocacy: Free 24/7 help… more
- Morley (Saginaw, MI)
- …provides - your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals + Dental and vision ... + Teladoc: 24/7 online access to doctors + 24/7 nurse help desk + Patient advocacy: Free 24/7 help...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more