- CVS Health (Dearborn, MI)
- …shift schedule after a 6 month probationary period.** **Our Mission** Our Field Case Managers are frontline advocates for members who cannot advocate for themselves. ... They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member… more
- McLaren Health Care (Petoskey, MI)
- …data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion. ... * Bachelor's degree in coding/medical records/billing or UM * Two years of case management or utilization review experience * Three years of recent experience doing… more
- Trinity Health (Grand Haven, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **Registered Nurse Hospice Case Manager - Grand Haven** **Position Overview -** **Sign-On Bonus** **$10,000** ... As a Hospice RN Case Manager at Trinity Health At Home, you are...(physical, occupational, speech) and medical social work. We are Medicare -certified and accredited by The Joint Commission. Learn more… more
- Prime Healthcare (Port Huron, MI)
- …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At… more
- Trinity Health (Grand Haven, MI)
- …time **Shift:** **Description:** Position Overview - Sign-On Bonus $10,000 As a Hospice RN Case Manager at Trinity Health At Home, you are fully responsible for the ... and overall supervision of client care and outcomes, is designated as the case manager for hospice patients. Also, collaborating with the physician and other Hospice… more
- Trinity Health (Grand Haven, MI)
- …and overall supervision of client care and outcomes, is designated as the case manager for hospice patients. **Why Join Us?** _Start Here Grow Here Stay ... nursing, therapy (physical, occupational, speech) and medical social work. We are Medicare -certified and accredited by The Joint Commission. Learn more about us at… more
- Cardinal Health (Lansing, MI)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- Prime Therapeutics (Lansing, MI)
- …in Excel, Word, and system operations (eg workflow processes and case management) + Government programs ( Medicare ) knowledge **Preferred Qualifications** ... all lines of business to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
- Humana (Lansing, MI)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- Humana (Lansing, MI)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members of the… more