• Senior Hospice Clinical Care Manager - RN…

    Gentiva (Portage, MI)
    …benefit package. Read on to learn more! We're looking for a **Patient Care Manager Senior/Clinical Manager ** to join our team. You will report directly to ... new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining authorization and reauthorization as needed,… more
    Gentiva (07/22/25)
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  • Senior Hospice Patient Care RN Manager

    Gentiva (Monroe, MI)
    …Inspire Excellence. Elevate Hospice Care.** We are seeking a Senior Patient Care RN Manager to join our hospice team. Reporting directly to the Executive Director or ... company policies and regulatory standards. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and support hospice patient care operations to ensure… more
    Gentiva (09/04/25)
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  • LSW Field Care Manager

    Humana (Lansing, MI)
    …an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare /Medicaid members.** The Social Worker Field Care Manager employs a variety of ... and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (08/27/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Flint, MI)
    …United States, Saginaw, Michigan, United States **Job Description:** **Field Reimbursement Manager (Immunology Rheumatology)- (Detroit North, MI) - Johnson & Johnson ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include Flint, Detroit,… more
    J&J Family of Companies (08/25/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Grand Rapids, MI)
    …States, Muskegon, Michigan, United States **Job Description:** **Field Reimbursement Manager (Immunology Dermatology)- (Grand Rapids, MI Territory)- Johnson & ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include Grand Rapids,… more
    J&J Family of Companies (08/25/25)
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  • Manager , Enrollment - REMOTE

    Molina Healthcare (Detroit, MI)
    …needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings ... Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate Degree or equivalent combination of… more
    Molina Healthcare (08/01/25)
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  • RN Care Manager Remote with field travel…

    Molina Healthcare (Detroit, MI)
    …and the site of service. This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and ... of MS Suite, organized and analytical thinking. Experience with Medicare /Medicaid, MS 365 and familiarity with claims is highly...and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume… more
    Molina Healthcare (09/05/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Grand Rapids, MI)
    **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept… more
    Molina Healthcare (08/14/25)
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  • Home Care Manager

    Munson Healthcare (Traverse City, MI)
    Home Care Manager - On-Site | Munson Home Health Find more than your next job. Find your community. We're northern Michigan's largest healthcare system and deeply ... growth and development. Why work as a Home Care Manager at Munson Home Health? + Lead a mission-driven...our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid, CHAP), manage budgets, set and meet key… more
    Munson Healthcare (06/21/25)
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  • Manager , Medical Economics (Medicaid)…

    Molina Healthcare (MI)
    **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required… more
    Molina Healthcare (08/27/25)
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