- Henry Ford Health System (Jackson, MI)
- …physicians to deliver care after injury, surgery, or throughout chronic illness management . Services include home health care (aides, nursing , therapy, medical ... well as hospice care focused on maximizing comfort and quality of life. As the only local provider certified...Medicare and The Joint Commission, we deliver affordable, high- quality care across a wide range of insurance plans… more
- Henry Ford Health System (Jackson, MI)
- …physicians to deliver care after injury, surgery, or throughout chronic illness management . Services include home health care (aides, nursing , therapy, medical ... well as hospice care focused on maximizing comfort and quality of life. As the only local provider certified...Medicare and The Joint Commission, we deliver affordable, high- quality care across a wide range of insurance plans… more
- Henry Ford Health System (Jackson, MI)
- …physicians to deliver care after injury, surgery, or throughout chronic illness management . Services include home health care (aides, nursing , therapy, medical ... well as hospice care focused on maximizing comfort and quality of life. As the only local provider certified...Medicare and The Joint Commission, we deliver affordable, high- quality care across a wide range of insurance plans… more
- Molina Healthcare (Grand Rapids, MI)
- …leadership across the organization. **PREFERRED EDUCATION** : + Master's in Public Health, Nursing , or Clinical Quality . **PREFERRED EXPERIENCE** : + **Minimum 5 ... + Demonstrated business writing and analytical skills. + Certified Professional in Healthcare Quality (CPHQ). + Experience with Medicare and Medicaid programs. +… more
- Genesis Healthcare (Westland, MI)
- … of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization, and patient ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization, and patient… more
- Henry Ford Health System (Southfield, MI)
- …+ Provide strategic oversight of health plan operations, including utilization management , risk adjustment, reimbursement strategy, and quality performance. + ... individuals to remain in their homes and communities with dignity, independence, and high- quality clinical support. This is a rare opportunity to lead a mature,… more
- Molina Healthcare (MI)
- …matter expert for local health plan state provider agreement, National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. **Job Duties** * In...needed. * Assists in preparation of documents for utilization management , care management , state, CMS, NCQA and… more
- Genesis Healthcare (Petoskey, MI)
- …management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization, and patient ... Rehab PT must have three years direct patient care experience and one year of management experience. 7. A thorough knowledge of Medicare and third party billing… more
- CVS Health (Lansing, 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 ... They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member… more
- Behavioral Center of Michigan (Detroit, MI)
- …objectives of the Center and to effectively present information to management , committees, staff, patients, families, and licensing and regulating agencies. Vision: ... mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient progress. Performs… more