- Tenet Healthcare (Detroit, MI)
- …assuring care is the right sequence and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet ... per Tenet policy · Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy · Completes timely, complete and accurate… more
- ChenMed (Detroit, MI)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management… more
- Molina Healthcare (MI)
- …cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the staff use ... of the electronic case management documentation system in compliance with standard Molina processes, standard documentation styles, and HIPAA. Arranges training as… more
- Molina Healthcare (Grand Rapids, MI)
- …**Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) ... Google AdWords, Tag Manager systems, (Adobe or Google) CMS (content management system)...utilizing best practices to increase lead conversion + Ensure compliance with consumer protection laws (CAN-SPAM, TCPA, etc.) and… more
- Molina Healthcare (Warren, MI)
- …reviews and appeals. * Supports behavioral health committees for quality compliance . * Implements behavioral health specific clinical practice guidelines and medical ... review criteria. * Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for … more
- Elara Caring (Ypsilanti, MI)
- …exercise program providing requests for modification and clarification. + Promotes compliance with all fiscal intermediary and/or other third-party payers, through ... problems to the appropriate Supervisor. + Maintains current knowledge of, and ensures compliance with all federal, state, and local regulations along with current … more
- Trinity Health (Ann Arbor, MI)
- …hire and ongoing as new systems and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the ... by the Patient Access Lead. Other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State, and local laws and… more
- Banner Health (MI)
- …assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state ... Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)...make needed corrections and ensure accurate coding, reimbursement, and compliance . 7. Provides mentoring for less experienced staff members… more
- Marshfield Clinic (Iron Mountain, MI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... interdisciplinary team to ensure continuity of care, timely documentation, and compliance with regulatory and safety standards. Services are provided in accordance… more
- Marshfield Clinic (Iron Mountain, MI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... MI/WI directs overall day-today operations of retail pharmacy and assures compliance with all hospital, local, state, and federal regulatory standards. Provides… more