- Trinity Health (Livonia, MI)
- …PURPOSE** Work Remote Position At the direction of the Regional Manager and Supervisor, Clinical Documentation Integrity (CDI), this position is responsible ... expert regarding documentation, compliant queries, coding, billing, reimbursement and compliance management as it relates to CDI. Assists with denials management… more
- Molina Healthcare (Detroit, MI)
- …the work performance of the health plan HCS Department staff. Consults with the Management of HCS to devise and implement corrective action as necessary to improve ... clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal...an ongoing member case load for regular outreach and management . + As a Lead RN provide support, recommendations,… more
- Molina Healthcare (MI)
- **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote setting ... Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from inpatient… more
- Sharecare (Lansing, MI)
- …new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... durable medical equipment (DME) + Community resource search + Member preferences management + Coordinate issue resolution with providers, payers or 3rd parties for:… more
- Travelers Insurance Company (Detroit, MI)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- Corewell Health (Dearborn, MI)
- Job Summary Under general direction of the Director/ Manager of Plant Operations, or their liaison, coordinator of Lead Electrician, Electricians and other support ... in a clean and neat manner as evidenced by management or regulatory observation. Notify management of...and repair lighting, low voltage devices, clocks, timers, intercoms, nurse call systems, dietary equipment as requested. + Orients… more
- Henry Ford Health System (Wyandotte, MI)
- …methodologies to improve performance and practice, thereby reducing the risk of hospital-acquired infections. Provides education to the multidisciplinary team ... work is done independently with minimal supervision from their immediate manager /director. The IPS II leads or co-leads multi-disciplinary teams, guides… more
- Henry Ford Health System (Wyandotte, MI)
- GENERAL SUMMARY: Reports to Nurse Manager -Intake & Admissions. Under minimal supervision, reviews, and screens admission requests for inpatient psychiatric ... clinical, regulatory and hospital acceptance criteria knowledge to reduce risk of inappropriate admissions. Coordinate with non-clinical intake representatives to… more
- Trinity Health (Ann Arbor, MI)
- …using continuous tele-visual monitoring to assure patient safety including patients at risk for falls, elopement, or other safety issues as identified by the ... nurse . + Documents cardiac rhythms on the Cardiac Monitor...report all preventable hazards and unsafe practices immediately to management . + Provides quality patient care by considering the… more