- McLaren Health Care (Flint, MI)
- …+ Five (5) years' experience performing quality management activities in a managed care organization, including HEDIS, NCQA, including at least two (2) ... We are looking for a Manager , Quality , to join us in...Information Set (HEDIS) process. Facilitates the delivery of medical care in a cost efficient and quality … more
- CVS Health (Lansing, MI)
- …environment and/or quality management . At least 5+ years of managed care experience **Preferred Qualifications** - Project Management skills and proficiency ... and/or MI State Reporting / Compliance **Education** . Bachelor's degree or equivalent managed care experience **Anticipated Weekly Hours** 40 **Time Type** Full… more
- Corewell Health (Traverse City, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. Collaborate with providers, ... equivalent Nursing + 5 years of relevant experience Clinical Nursing and / case management/ managed care Required + Registered Nurse (RN) - State of Michigan Upon… more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. Collaborate with providers, ... + Ensures processes and services are continuously monitored for quality , cost effectiveness, and efficiency, Engages in process and...relevant experience RN - Clinical Nursing and /or case management/ managed care or related field Required +… more
- Molina Healthcare (Detroit, MI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the ... and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume...**Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health… more
- Molina Healthcare (Kalamazoo, MI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the ... or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE,… more
- Molina Healthcare (Canton, MI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the ... or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE,… more
- AmeriHealth Caritas (Detroit, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... services. Discover more about us at www.amerihealthcaritas.com. **Role Overview:** The Care Manager II is responsible for managing and coordinating… more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and ... Rapids, you'll find a nationally recognized hospital for patient quality and safety and the regional leader in full-service...years of relevant experience clinical nursing and or case management/ managed care or related field Required +… more
- Molina Healthcare (Dearborn, MI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the ... Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required… more
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