- Gentiva (Fremont, MI)
- …operations, ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure ... operations leadership + Strong understanding of hospice regulations, compliance, and Medicare conditions of participation + Proven ability to manage teams, budgets,… more
- CenterWell (Lansing, MI)
- …delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to ... a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D. + Experience with contact center platforms and CRM… more
- Molina Healthcare (MI)
- …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...skills. **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with… more
- Evolent (Lansing, MI)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Good knowledge US Healthcare - Payer side, Knowledge of Medicare , Medicaid, Commercial Plans and understanding on claims workflow,… more
- Molina Healthcare (Ann Arbor, MI)
- …mailings. The Specialist will work closely with the Print Production Manager and cross-functionally with Marketing Operations, Content Development, Compliance, Brand ... **Job Duties** * Work strategically, under the guidance of the Print Production manager , to understand prospect and member mailing initiatives and build mail plans… more
- Molina Healthcare (Grand Rapids, MI)
- …cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the staff use ... and/or participates in Interdisciplinary Care Team meetings. + Works with the Manager to ensure adequate staffing and service levels and maintains customer… more
- Molina Healthcare (MI)
- …we are seeking a (RN) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote setting supporting our Medicare /Medicaid population ... who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from inpatient to outpatient. Excellent… 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)...a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL… more
- Trinity Health (Grand Haven, MI)
- …needs under the supervision of the Nurse/Therapy Leader, Office Care Manager + Triages appropriate operational/clinical calls to/from all internal and external ... customer contacts. + Assists Nurse/Therapy Leader and Office Care Manager in assuring that patient, families/caregivers and direct care staff have are kept informed… more
- Gentiva (West Branch, MI)
- …more comfortable. **What You'll Do as a Home Health RN / RN Case Manager :** + Serve as the primary nurse for your assigned patients, managing their individualized ... nurse home care, RN skilled nursing visits, RN case manager home health, in-home nursing care, RN PRN home...home visits, home health care nurse, RN care planning, Medicare RN home health, RN clinical oversight home care… more