- CVS Health (Lansing, MI)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...**Required Qualifications** - 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience… more
- CVS Health (Lansing, MI)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...**Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience… more
- Molina Healthcare (Sterling Heights, MI)
- …must be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied… more
- Henry Ford Health System (West Bloomfield, MI)
- General Summary: The Nursing Manager is a Registered Nurse who is accountable for leading, managing, developing, supervising and evaluating the delivery of patient ... patient care. Care is provided in accordance with departmental, Henry Ford Medical Group and health system policies and procedures. Facilitates empowerment of staff… more
- CVS Health (Lansing, MI)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Join ... member's overall wellness. + Uses clinical tools and information/data review to conduct an evaluation of member's needs and...and health needs based on key questions and conversation. ** Remote Work Expectations** + This a remote … more
- CVS Health (Lansing, MI)
- …do it all with heart, each and every day. **Position Summary** This is a fully remote role open to candidates with an active RN licensure in the state in which they ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects of… more
- Trinity Health (Livonia, MI)
- …Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school + Certified Clinical ... **Employment Type:** Full time **Shift:** **Description:** ** Remote based work location** **POSITION PURPOSE** At the...Quality and Denials teams to facilitate documentation within the medical record and supports the patient's severity of illness,… more
- Trinity Health (Livonia, MI)
- …as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school Certified Clinical Documentation ... Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position At the direction of the Regional Manager and Supervisor,… more
- CenterWell (Lansing, MI)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Bilingual We offer tangible and intangible benefits such as medical , dental and vision benefits, 401k with company matching,...culture and much more. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Lansing, MI)
- …are excited to offer the role of Virtual Physician Collaborator for CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary ... are excited to offer the role of **Virtual Physician Collaborator for CenterWell Medical Group** , a new virtual care delivery group within CenterWell Senior Primary… more