• Special Investigation Unit Analyst

    Corewell Health (Grand Rapids, MI)
    Health Information Management Association Upon Hire + CRT-Coding Specialist, Certified -Physician Based (CCS-P) - AHIMA American Health Information Management ... detection and investigation of fraud and abuse within Priority Health . Utilizes knowledge/expertise of health care fraud...and Federal laws related to fraud, waste or abuse, Medicare and Medicaid regulations, etc. + Ability to work… more
    Corewell Health (08/08/25)
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  • Contingent/PRN Registered Nurse, RN Hospice

    Trinity Health (Grand Haven, MI)
    …Program** + **Work Today, Get Paid Tomorrow** + **Comprehensive orientation** **About Trinity Health At Home - Grand Haven** **(Michigan)** Trinity Health ... - Grand Haven is a member of Trinity Health At Home , a national ...(physical, occupational, speech) and medical social work. We are Medicare - certified and accredited by The Joint Commission.… more
    Trinity Health (08/13/25)
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  • Senior Coding Educator

    Humana (Lansing, MI)
    …experience in Medicare Advantage or Value-Based Care + AAPC CRC ( Certified Risk Adjustment) Certification + AAPC CDEO ( Certified Documentation Expert ... part of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to...school diploma or equivalent + Must hold AAPC CPC ( Certified Professional Coder) certification + 2 years or more… more
    Humana (08/08/25)
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  • Case Manager RN-Field (Southwest Michigan)

    CVS Health (Kalamazoo, MI)
    …**Preferred Qualifications** + Care Management, discharge planning and/or home health care coordination experience preferred + Certified Case Manager ... At CVS Health , we're building a world of health...Cass, and Berrien Counties). This is a work from home position. Schedule: Standard business hours - 8:00AM-5:00PM, no… more
    CVS Health (08/17/25)
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  • Case Manager Registered Nurse - Field (Wayne…

    CVS Health (Warren, MI)
    …Qualifications** + 2+ years of experience in case management, discharge planning and/or home health care coordination experience + Behavioral health ... At CVS Health , we're building a world of health...Macomb Countie** **s** . This is a work from home position with field based responsibilities. **Position Summary** Help… more
    CVS Health (08/15/25)
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  • Registered Nurse Field Case Manager - Wayne…

    CVS Health (Dearborn, MI)
    …Qualifications** + 2+ years of experience in case management, discharge planning and/or home health care coordination experience. + Behavioral health ... At CVS Health , we're building a world of health...Summary** + **Location:** This role will be work at home with 25-50% travel within Southeast Michigan (Wayne and… more
    CVS Health (08/10/25)
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  • Director, Risk Adjustment Prospective Operations…

    Corewell Health (Grand Rapids, MI)
    …efforts, all vendors related to Prospective Operations including but not limited to in- home health assessments and provider point of care (POC) solutions as ... to the Prospective operations & Risk Mitigation areas including but not limited to in- home health assessments, provider solutions such as point of care (POC)… more
    Corewell Health (07/21/25)
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  • RN or LPN Long Term Care

    Corewell Health (Stevensville, MI)
    About Pine Ridge Pine Ridge is a 111-bed Skilled Nursing Facility that is Medicare and Medicaid Certified with 33 private rooms and 39 semi-private rooms. The ... Skilled Nursing, Hospice and Respite Care, Restorative Care and Certified Wound Care. Scope of work The RN, under...the direction of the Nurse Leader according to Corewell Health policies and procedures and recognizes the impact of… more
    Corewell Health (08/14/25)
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  • Senior Provider Programs Specialist

    Corewell Health (Grand Rapids, MI)
    Job Summary Under general direction, is a liaison for health plan initiatives with physician hospital organizations, physician organizations state-wide and community ... multiple interventions, programs and data in support of Network efficiency, health outcomes and patient experience. + Identifies, monitors, coordinates and manages… more
    Corewell Health (08/14/25)
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  • *CDM Analyst Revenue Integrity/ Full Time/Hybird

    Henry Ford Health System (Troy, MI)
    …care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health ... comply with third party regulations. This includes knowledge of Medicare /Medicaid regulations as well as understanding of managed care...EPIC certification in CDM Management, PB or HB Claims certified preferred. + If not EPIC CDM certified more
    Henry Ford Health System (06/20/25)
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