• Director, Risk Adjustment Prospective Operations…

    Corewell Health (Grand Rapids, MI)
    …ensuring the appropriate metrics are established to ensure productivity and quality outcomes while conducting internal audits for both vendors and providers. ... to meet program goals including but not limited to provider incentive programs, audit and compliance processes and well as EMR optimization and other technology… more
    Corewell Health (07/21/25)
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  • Nursing Director Inpatient and Hemodialysis

    Tenet Healthcare (Detroit, MI)
    …hospital and DMC objectives. Models customer service excellence. 1. Assures quality and appropriateness of care. Facilitates and supports the establishment of ... unit based quality improvement programs and supports continuous improvement processes.* Uses...and DMC policies. As directed, implements external and internal audit recommendations. Ensures hospital departments achieve objectives for diversity… more
    Tenet Healthcare (07/30/25)
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  • OB/GYN

    Grace Health (Battle Creek, MI)
    …Provides medical consults for and collaborates in patient care with advanced nurse practitioners and certified nurse midwives, as indicated. TYPICAL PHYSICAL ... Creek Hospital within the scope of their specialty. 4. Responsible to review audit findings, provide in-service training, review changes in service and implement new… more
    Grace Health (08/07/25)
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  • Clinical Improvement Coordinator Full Time Days

    Tenet Healthcare (Commerce Township, MI)
    …practice, provides hospital-wide coordination, leadership and expertise in quality improvement programs. Identifies opportunities for performance improvement and ... internal DMC resources in addition to external agencies that deal with quality improvement. Develops and implements strategies to assure hospital achieves standards… more
    Tenet Healthcare (07/29/25)
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  • Site Medical Director

    YesCare Corp (Port Huron, MI)
    …week schedule considered.** **Administrative** + Serve as Chairman of the Medical Audit Committee. + Consult with medical providers in the community to resolve ... and medical disaster plan. + Provide direction and assistance to the on-site quality improvement program as well as the corporate Continuous Quality and… more
    YesCare Corp (07/02/25)
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  • Disability Clinical Specialist

    Sedgwick (Detroit, MI)
    …providers to discuss employee's clinical status, progress and work status. + Achieves appropriate quality audit scores on a consistent basis. + Acts as clinical ... + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's… more
    Sedgwick (08/15/25)
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  • Program Manager Trauma Burn Injury Prevention Full…

    Tenet Healthcare (Detroit, MI)
    …requirements and DMC policies. As directed, implements external and internal audit recommendations. Ensures hospital departments achieve objectives for diversity of ... & oversees the patient information flow for trauma and/or burn quality assurance activities, including multidisciplinary staff conferences, morbidity and mortality… more
    Tenet Healthcare (08/09/25)
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  • Manager Patient Services Surgical Acute Full Time…

    Tenet Healthcare (Detroit, MI)
    …development and revision of departmental organizational design and/or monitor the quality and quantity of overall workflow. Initiate or recommend personnel actions ... and ethical standards, and as directed, implementing external and internal audit recommendations. Monitors activities to ensure compliance with applicable laws,… more
    Tenet Healthcare (08/01/25)
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  • Manager Patient Services Neonatal ICU Full Time…

    Tenet Healthcare (Detroit, MI)
    …development and revision of departmental organizational design and/or monitor the quality and quantity of overall workflow. Initiate or recommend personnel actions ... and ethical standards, and as directed, implementing external and internal audit recommendations. Monitors activities to ensure compliance with applicable laws,… more
    Tenet Healthcare (07/12/25)
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  • Manager, Care Management

    Humana (Lansing, MI)
    …members for specific case management and / or disease management activities. + Develop audit plans and tools for teams to ensure compliance with state contract on ... to Wayne County or Macomb County.** + **Active Registered Nurse (RN) license or Social Work (SW) license in...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (06/28/25)
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