- Henry Ford Health System (Detroit, MI)
- …ability to successfully advocate for patients and their families. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse ( RN ) + Licensed Social Worker (LMSW) ... of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. +… more
- Henry Ford Health System (Detroit, MI)
- …the ability to successfully advocate for patients and their families. CERTIFICATIONS/LICENSURES REQUIRED: Registered Nurse ( RN ) or a Licensed Social Worker ... of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles.… more
- Prime Healthcare (Port Huron, MI)
- …computer skills. Preferred qualifications: 1. Healthcare professional licensure required as Registered Nurse , Licensed Clinical Social Worker (LCSW), or Licensed ... Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of… more
- Trinity Health (Grand Haven, MI)
- …plan of care as prescribed by the physician and assigned by the supervising registered nurse . These nursing activities are limited to those in compliance with ... with practice standards, in making recommendations to the primary nurse and client. + Reports changes in client condition...in a timely manner, to the client's physician and/or Case Manager/designee and obtains orders for changes in the… more
- Trinity Health (Ann Arbor, MI)
- …travelling between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / ... healthcare financing and managed care. Knowledge of and experience in case management and utilization management. Outpatient CDI experience preferred. Knowledge of… more
- Humana (Lansing, MI)
- …in Nursing (BSN) or Bachelor's degree in any field or equivalent experience + Active unrestricted Registered Nurse ( RN ) license + 5 years or more of prior ... summation of research to medical directors and leadership during Medicare and Medicaid LOB - Medicare Clinical...medical research for medical directors as needed for individual case reviews + Perform research regarding new CPT and… more
- Humana (Lansing, MI)
- …in Michigan and be able to travel to Wayne County or Macomb County.** + **Active Registered Nurse ( RN ) license or Social Work (SW) license in the state ... RN or Social Worker to include experience in case and/or disease management + Minimum 2 years of...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Molina Healthcare (Ann Arbor, MI)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum… more
- Centene Corporation (Lansing, MI)
- …and Certifications:** A license in one of the following is required: Licensed Registered Nurse ( RN ), Licensed Clinical Social Worker (LCSW), Licensed ... organization offering competitive benefits including a fresh perspective on workplace flexibility. ** RN Required** **This is a remote role working Monday- Friday 8-5… more