- Cardinal Health (Lansing, MI)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements. **Responsibilities:** + Lead and manage… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' ... with resources appropriate for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker**… more
- CVS Health (Lansing, MI)
- …compassionate. And we do it all with heart, each and every day. **Case Manager RN** WFH Flexible **Position Summary** **This position offers a $5,000 New Hire ... models. You 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… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical nursing ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific guidelines and… more
- Molina Healthcare (Grand Rapids, MI)
- …submissions to NCQA and regulatory bodies, ensuring accuracy and timeliness. ** Compliance & Quality Improvement** + Monitors key performance indicators (KPIs) and ... rehearsals. + Ensures survey readiness by maintaining documentation and evidence of compliance . **Consultation & Collaboration** + Serves as a strategic advisor to… more
- CVS Health (Coldwater, MI)
- …models. You 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 ... at interdisciplinary case conferences. + Utilizes case management processes in compliance with regulatory and company policies and procedures. + Utilizes… more
- Munson Healthcare (Manistee, MI)
- …Commission (TJC) EOC, EM and Life Safety standards, The Centers for Medicare and Medicaid Services (CMS) requirements, Michigan Occupational Safety and Health ... safety and environment of care, security and emergency management.Oversees and manages compliance with all applicable regulations including but not limited to TJC,… more
- Corewell Health (Farmington Hills, MI)
- …pm Job Summary Under the direction of the Patient Access Registration Front Line Manager , the Acute Care Hospital Registrar 1 is accountable to ensure a smooth ... information, educating and providing information as necessary. Collects and documents Medicare Questionnaire, issue Medicare Inpatient Letter & Medicare… more
- Molina Healthcare (MI)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- Humana (Detroit, MI)
- …of our caring community and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and...or Macomb county, to conduct in home visits with Medicare /Medicaid members.** **Must reside in Michigan with the ability… more