- Sedgwick (Detroit, MI)
- …to advance to the next round, a recruiter will be in touch. \# nurse #fieldcasemanager Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Sedgwick (Lansing, MI)
- …to advance to the next round, a recruiter will be in touch. \# nurse #fieldcasemanager _As required by law, Sedgwick provides a reasonable range of compensation ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- AmeriHealth Caritas (Detroit, MI)
- …treatment plans. + Address service issues and assist with provider or claims -related problem-solving. + May oversee tasks assigned to other licensed or unlicensed ... master's degree in Social Work required or active licensure as a Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), or Licensed Master Social Worker… more
- Public Consulting Group (Lansing, MI)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... Proven working experience in case management, including as a nurse , medical, mental health care manager or a related...+ Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
- CVS Health (Kalamazoo, MI)
- …+ Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... writing the waiver and submitting for approval. **Required Qualifications** + Registered Nurse with active MI state license in good standing + Confidence working… more
- Morley (Kalamazoo, MI)
- …to Make Your Life Easier_** + Teladoc: 24/7 online access to doctors + 24/7 nurse help desk + Patient advocacy: Free 24/7 help with benefit questions and claims ... issues + Family, financial and estate guidance (will) services **_About Morley_** Our mission is to deliver extraordinary experiences. We do this by leading with humility, embracing everyone, sweating the details and moving mountains (making the impossible… more
- Morley (Saginaw, MI)
- …to Make Your Life Easier_** + Teladoc: 24/7 online access to doctors + 24/7 nurse help desk + Patient advocacy: Free 24/7 help with benefit questions and claims ... issues + Family, financial and estate guidance (will) services **_About Morley_** Our mission is to deliver extraordinary experiences. We do this by leading with humility, embracing everyone, sweating the details and moving mountains (making the impossible… more
- Molina Healthcare (Detroit, MI)
- …focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial… more
- Morley (Lansing, MI)
- …to Make Your Life Easier_** + Teladoc: 24/7 online access to doctors + 24/7 nurse help desk + Patient advocacy: Free 24/7 help with benefit questions and claims ... issues + Family, financial and estate guidance (will) services **_About Morley_** Our mission is to deliver extraordinary experiences. We do this by leading with humility, embracing everyone, sweating the details and moving mountains (making the impossible… more
- Morley (Saginaw, MI)
- …to Make Your Life Easier_** + Teladoc: 24/7 online access to doctors + 24/7 nurse help desk + Patient advocacy: Free 24/7 help with benefit questions and claims ... issues + Family, financial and estate guidance (will) services **_About Morley_** Our mission is to deliver extraordinary experiences. We do this by leading with humility, embracing everyone, sweating the details and moving mountains (making the impossible… more