- Highmark Health (Lansing, MI)
- …Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... member. The incumbent conducts outreach to members enrolled in case management including but is not limited...and federal law standards and are within the care manager 's professional discipline. + For assigned case … more
- Trinity Health (Livonia, MI)
- …assessment and care plan development in collaboration with the Population Health Case Manager . Provides functional support/supervision to Home Healthcare Aides ... and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction. **Position… more
- Hospice of Michigan (Traverse City, MI)
- …is "Every person, Every time." Hospice of Michigan is looking for a Registered Nurse passionate to provide high quality patient care to join our team! Job Summary: ... information after the initial visit and confers with the operations manager or designee to provide patient/family information, including unusual or potentially… more
- LG Energy Solution (Holland, MI)
- …a manufacturing environment is desired + Prior experience with Michigan Worker's Compensation case management and claims management desired + Experience as ... Title: Occupational Health Nurse Reports to: Manager , Health & Safety Location: Holland, MI LG Energy Solution Michigan Inc. (LGESMI) develops and manufactures… more
- Molina Healthcare (Sterling Heights, MI)
- …Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Trinity Health (Grand Haven, MI)
- …intervention, and overall supervision of client care and outcomes, is designated as the case manager for hospice patients. The Hospice RN in collaboration with ... requested by the client/family, and in compliance with the state's Nurse Practice Act, any applicable licensure/certification requirements, and the organization's… more
- Molina Healthcare (Warren, MI)
- …Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management , Certified Professional in ... payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. + Provides… more
- McLaren Health Care (Petoskey, MI)
- Provides overall technical direction and administration to case management personnel, ensuring services are provided efficiently and effectively. Regularly ... 1. Plans and administers directly, and through subordinate supervisory personnel, the effective management and delivery of case management services in… more
- McLaren Health Care (Grand Blanc, MI)
- …or possess a Doctor of Medicine Degree **.** **4 years of utilization management , case management , clinical documentation, and/or denials/appeals experience ... in an acute healthcare facility** **.** American Case Management Certification (ACM), Certified Clinical Documentation Specialist (CCDS) or Certified Coding… more
- Molina Healthcare (Benton Harbor, MI)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more