- Molina Healthcare (Detroit, MI)
- …LLMSW) in the state of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care Services team. This position will ... **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license (LVN/LPN) OR… 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 ... health experience + Bilingual in Spanish or Arabic + Certified Case Manager + Additional national professional certification (CRC, CDMS, CRRN, COHN) + Excellent… 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 ... school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At least one… more
- CVS Health (Dearborn, 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 ... experience. + Bilingual in Spanish or Arabic. + Certified Case Manager . + Additional national professional certification (CRC, CDMS, CRRN, COHN). **Educational**… more
- McLaren Health Care (Flint, MI)
- We are looking for a Manager , Quality, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana… 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 Here!_ At ... 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
- Intermountain Health (Lansing, MI)
- …financial analyses on trials, provide budgeting guidance and approvals based on Medicare coverage analysis results. Create financial compliance tools for care sites, ... develop best practices for study financial management, provides oversight to ensure consistent updates within CTMS. Ensures regulatory compliance and effective financial management. Supports research leadership with departmental budget and reporting. Supports… more
- Elara Caring (Rochester Hills, MI)
- …GED + 2-4 years' experience In a Health Care setting + Knowledge of Medicare and Medicaid, home health care benefits, policies and procedures + Excellent computer ... and communication skills, with ability to work in fast-paced environment + Reliable transportation to perform job responsibilities You will report to the Branch Director, Alternative Branch Director, or Regional Branch Director. _This is not a comprehensive… more
- CVS Health (Lansing, MI)
- …Certification - Lean Six Sigma (Green/Black Belt) - Tableau Dashboards/Analytics - Medicare / Medicaid experience -Experience with HEDIS Metrics, CAHPS Member ... Satisfaction Surveys, NCQA Accreditation, Compliance Audits and/or MI State Reporting / Compliance **Education** . Bachelor's degree or equivalent managed care experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay… more
- Option Care Health (Farmington Hills, MI)
- …Basic understanding of billing and reimbursement procedures for hospital, medical offices, and Medicare (B/D + benefits) as well as medical offices. + One year ... experience directly managing people including hiring, developing, motivating, and directing + people as they work. Experience in leading team efforts within highly matrixed organizations. Due to state pay transparency laws, the full range for the position is… more