- Henry Ford Health System (Detroit, MI)
- …direction and consultation to Case Managers, clerical staff, and departmental management. EDUCATION /EXPERIENCE REQUIRED: + Registered Nurse ( RN ) with ... GENERAL SUMMARY: Under the direction of the department director, the Education Specialist assesses, designs, and evaluates cost-effective, customer-oriented,… more
- Humana (Canton, MI)
- …2** **years experience in health care and/or case management** + **Active Michigan Registered Nurse ( RN ) license with no disciplinary action** + **Must ... skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or Clinical Nurse Specialist with** **a minimum of… more
- Option Care Health (Detroit, MI)
- …performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse ( RN ) or licensed Pharmacist in the state ... and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to… more
- Gentiva (Midland, MI)
- …field nurse RN admissions, RN home visits, home health intake specialist , start of care registered nurse , skilled nursing admissions RN , ... Steps. Transform the Home Health Experience.** Are you a Registered Nurse ( RN ) who thrives..., RN assessment home health, Medicare SOC nurse , home health case opening RN… more
- Deloitte (Detroit, MI)
- …degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) ... as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN… more
- Datavant (Lansing, MI)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Molina Healthcare (MI)
- …pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified… more
- Hospice of Michigan (Kalamazoo, MI)
- …every time, 100% of the time. Qualifications: + Bachelor of Science in Nursing preferred. Registered Nurse ( RN ) licensure in the State of Michigan required. ... the mission of NorthStar Care Community. The Clinical Quality Nurse Specialist is responsible, through monitoring and...to five (5) years of demonstrated experience in Hospice RN case management required. + Advanced knowledge… more
- Henry Ford Health System (Troy, MI)
- … education , process improvements, patient satisfaction). The Central Authorization Specialist is accountable for a designated caseload and plans effectively in ... The purpose of the Central Authorization Specialist position is to centrally facilitate the successful...quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with… more
- Sedgwick (Grand Rapids, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... vocational skills needed for particular employment positions; makes decisions or assists case management staff in making decisions regarding a client's competence in… more