- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- Humana (Lansing, MI)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care… more
- Henry Ford Health System (Detroit, MI)
- The Case Manager Social Worker provides therapeutic intervention and social work services to patients and their families to enhance comprehensive, integrated, and ... organization and departmental policies and procedures. GENERAL SUMMARY: + The Case Manager is a member of the hospital or specialty-based patient-centered care team… more
- Henry Ford Health System (West Bloomfield, MI)
- CONTINGENT DAYS POSITION (MUST HAVE WEEKEND AVAILABILITY) GENERAL SUMMARY: The Case Manager is a member of the hospital or specialty-based patient-centered care team ... meet an individual's and family's health care needs. The goals of the case manager are to promote patient safety, quality of care and cost-effective outcomes. The… more
- Henry Ford Health System (Detroit, MI)
- …as needed, with some remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered care team or treatment team ... service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. + Knowledge of medical… more
- Henry Ford Health System (Detroit, MI)
- …training in trauma-informed care/working with trauma populations. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered care team or ... guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. Knowledge of medical ethics… more
- Hospice of Michigan (Battle Creek, MI)
- …the Plan of Care as necessary + Initiates and sustains as needed the implementation of orders for medications and treatments as prescribed by the attending physician ... shared with appropriate personnel. + Adheres to Centrica Care Navigators' Workplace Safety Program . + Understands and complies with Hospice Medicare and Medicaid … more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with ... risk by upholding compliance standards. Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity leaders, the… more
- Molina Healthcare (Detroit, MI)
- …services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality ... utilization and effective resource management. * Assumes leadership relative to knowledge, implementation , training, and supervision of the use of the criteria for… more
- Humana (Lansing, MI)
- …Capacity Management - provide value-based guidance on backlog prioritization to the implementation team. Coordinate with the Product Manager and set boundaries ... the overall set of features prioritized by the Product Manager . Additionally provide clarity to scrum team members with...+ Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development… more