- University of Michigan (Ann Arbor, MI)
- …Surgery. The Section of Plastic Surgery is a vibrant, growing group with 20 clinical faculty members, two research faculty, 28 residents, 4 clinical fellows, and ... of travel reports. + Update QGenda for call schedules, clinical changes, and faculty time away. + Assist faculty...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more
- University of Michigan (Ann Arbor, MI)
- …verify insurance benefits and copays; obtaining prior authorization for clinical services; identifying and informing Supervisor (Charge Nurse, Clinical ... to develop, support and maintain positive relationships. + Refers clinical questions and issues with home care referrals and...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more
- Humana (Lansing, MI)
- …community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director ... CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part… more
- CenterWell (Lansing, MI)
- …evaluation of variable factors. The Medicaid Drug Strategy Pharmacist Lead uses clinical and financial data driven methods to develop and influence drug strategies ... Translates information from multiple sources to clearly communicate a compelling clinical , data-driven message to executive-level audiences on our drug strategies. +… more
- University of Michigan (Ann Arbor, MI)
- …care areas. The position is unique in that it combines clinical /quality considerations with regulatory/financial/utilization review demands. The position creates a ... balance between individual clinical needs with the efficient and cost effective utilization...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more
- University of Michigan (Ann Arbor, MI)
- …Services team** ? As a member of this team, you will have clinical responsibility to conduct new patient evaluations including suicide risk assessment for adult ... + Facilitating and addressing patient, family and visitor concerns and clinical case management as needed. + Coordinating admissions, outpatient care, verifying… more
- CVS Health (Lansing, MI)
- …care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. This is a ... remote based (work from home) role. Preferred candidates will...Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise as well as directing… more
- University of Michigan (Ann Arbor, MI)
- …with her/his existing skills and previous experience in support of clinical and preclinical imaging studies, and quality assurance efforts. **Mission Statement** ... and quality control of PET tracers to meet demanding pre- clinical and clinical imaging schedules according to...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more
- R1 RCM (Detroit, MI)
- …from the payor side. To thrive in this role, you must have strong clinical knowledge across multiple clinical areas and be capable of working independently ... basic computer skills is essential for excelling in this remote position. **Here's what you will experience working as...that authorization, evidence-based criteria for that support, and complex clinical evaluation of the request as a whole. +… more
- AmeriHealth Caritas (Detroit, MI)
- …of health. Utilizes strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care, and barriers to care. ... plans, as well as promote self-management. **Work Arrangement:** + Remote - The Associate must reside in the state...Registered Nurse licensure. + 3 or more years of clinical experience at the bedside (as a Registered Nurse)… more