- Corewell Health (Royal Oak, MI)
- …a case load of patients that includes facilitating utilization management , and/or care coordination during the patient's stay, planning and expediting plans ... care. Uses defined resources to guide decisions, including Medical Director Care Management , Physician Advisors, and ...Required Bachelor's Degree Graduate of an accredited school of nursing . + Preferred Will consider non-BSN RN if actively… more
- Sharecare (Lansing, MI)
- …a variety of areas such as integration activities, audits, and case management in collaboration with the Director . + Provide clinical/coaching oversight to ... Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing...+ Bachelor's degree preferred + 5+ years' experience in Care/ Case Management + NCQA experience preferred +… more
- Datavant (Lansing, MI)
- …quality, compliance assessments, external payer reviews, coding education, interim coding management , and coding workflow operations reviews. In this role, you will ... + Prepare preliminary results for review by the facility or CCS HIM director . + Review disagreements on APC/DRG changes with the appropriate manager. + Prepare… more
- BluePearl (Grand Rapids, MI)
- …meetings. + **Mentor ER Clinicians and new ER/ICU support staff** . Oversee ER Clinician case management and providing guidance as needed on case ... Specialty Clinicians and discuss any concerns with the Medical Director as they arise. + Assist in implementation and...Assist in customer service issues as needed and help management to follow up to resolve issues as appropriate.… more
- ChenMed (Eastpointe, MI)
- …developing a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth ... cardiovascular care as well as, care coordination, echocardiogram reading, population management of market's members, and oversight of PCP's cardiovascular skills. +… more
- Presbyterian Villages of Michigan (Detroit, MI)
- …and identify current or potential needs and services. 2. Provide general case management and referral services 3. Coordinate communication between residents, ... aging in place. 5. Coordinates counseling, occasional visits from a nurse , preventative health screening/wellness and legal advocacy, meals-on-wheels services and… more
- AmeriHealth Caritas (Detroit, MI)
- …Worker (LMSW) required. + Minimum of 3 years of experience in care coordination, case management , or related roles serving individuals with chronic conditions or ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more