- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the thought leader role responsible for ensuring the complete and ... for ensuring ongoing key performance indicators (KPIs) measure productivity, quality and overall impact of the company's risk...for Medicare Advantage or ACA products. Preferred + LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire… more
- Trinity Health (Chelsea, MI)
- **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** + Nursing Director opportunity for a Registered Nurse at Chelsea Hospital. + ... Nurse Managers (ICU, M/S, Rehab Units), and oversight of Virtual Nurse Initiatives, House Supervisors and Palliative care. + This leader drives performance and… more
- Molina Healthcare (Sterling Heights, MI)
- … improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, … more
- Henry Ford Health System (Grand Blanc, MI)
- REGISTERED NURSE | GRADUATE NURSE Sign On...length of stay, use of resources, and achievement of quality outcomes. + Provide patient care that reflects a ... Assessment and shift assessment as required. + Complete assessment for Risk Factors; including fall, skin breakdown, VTE, and aspiration. Initiate appropriate… more
- Henry Ford Health System (Grand Blanc, MI)
- Registered Nurse + Department: CVC + Schedule: PT Days + Hospital: Henry Ford Health Genesys + Location: Grand Blanc, Michigan GENERAL SUMMARY + Use independent ... length of stay, use of resources, and achievement of quality outcomes. + Provide patient care that reflects a...and shift assessment as required. + Complete assessment for Risk Factors; including fall, skin breakdown, VTE, and aspiration.… more
- Sedgwick (Lansing, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... for evaluating the following: + Conducting reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Physician Assistant/ Nurse Practitioner (Behavioral Health) Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3075437&source=3075437-CJB-0) Job Title: Physician Assistant/ Nurse Practitioner Job Status: Part-time Job Summary: Under the… more
- Trinity Health (Pontiac, MI)
- …facilitator of care. Responsible for ensuring all spine patients receive quality and comprehensive services throughout the continuum. Coordinates the overall ... months of clinical internship + Graduate of an accredited Nurse Practitioner program with a minimum of a Masters...to assist in patient throughput Identifies patients at high risk for treatment failure or interruptions and enlists additional… more
- Humana (Lansing, MI)
- …Dual Special Needs Plan (DSNP) Contract terms. + Works in conjunction with the Quality Improvement Director to develop quantifiable metrics that can track and ... community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and independent critical thinking… more
- Henry Ford Health System (Grand Blanc, MI)
- Registered Nurse - Surgical, Oncology, General Medicine, Hospice - Full Time Nights 7 PM - 7:30 AM and every other weekend (Saturday and Sunday) + Department: ... length of stay, use of resources, and achievement of quality outcomes. + Provide patient care that reflects a...and shift assessment as required. + Complete assessment for Risk Factors; including fall, skin breakdown, VTE, and aspiration.… more