- CVS Health (Lansing, MI)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well ... Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy...consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases… more
- Gentiva (Fremont, MI)
- …Hospice.** We have an exciting and rewarding opportunity for a RN Hospice Executive Director to join our leadership team. This role is ideal for a licensed ... operations, ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure… more
- Humana (Lansing, MI)
- …our caring community and help us put health first** The Associate Director , Learning Design uses instructional design, cognitive psychology and adult learning theory ... solution to a knowledge or performance gap. The Associate Director , Learning Design requires a solid understanding of how...match * Generous Paid Time Off accrual * Tuition Reimbursement * Parent Leave **Work at Home Requirements** *… more
- State of Michigan (Grand Rapids, MI)
- Physician Manager 20 - Medical Director Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4848644) Apply Physician Manager 20 - Medical ... Director Salary $100.12 - $134.48 Hourly Location Grand Rapids,...develop your career, programs are available to apply for reimbursement of up to $2,000 a year for education… more
- CVS Health (Lansing, MI)
- …has an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Michigan market for our Commercial, Medicare , ... improvements for both payers and providers. + In-depth knowledge of various reimbursement structures and payment methodologies for both hospitals and physicians. +… more
- Gentiva (Portage, MI)
- …Manager** to join our team. You will report directly to the Executive Director or Administrator. You will be responsible for assisting branch leadership with ... new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining authorization and reauthorization as needed,… more
- Trinity Health (Spring Lake, MI)
- …clinical condition of residents, ensuring proper care planning, and maximizing Medicare and Medicaid reimbursement . **Key Responsibilities:** + Coordinate the ... related to MDS processes. + Work closely with the Director of Nursing and other department heads to optimize...Assessment Instrument) process and care planning. + Knowledge of Medicare , Medicaid, and reimbursement procedures related to… more
- Gentiva (Mason, MI)
- …treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse Practitioner, you will:** ... + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by providing diagnosis, treatment and… more
- Gentiva (Clinton Township, MI)
- …teams, and volunteers to ensure high-quality care + Ensure compliance with Medicare , Medicaid, ACHC, and federal/state regulations + Review, evaluate, and support ... a healthcare setting + Experience with regulatory standards, including CMS, ACHC, Medicare , and state guidelines + Strong knowledge of budgeting, staffing models,… more
- Munson Healthcare (Traverse City, MI)
- …safety and continuous improvement. What the Position Involves Reporting to the Director of Home Care, you will oversee the clinical and administrative functions ... of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid, CHAP), manage budgets, set and meet key performance indicators… more