- Humana (Lansing, MI)
- …us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- Oracle (Lansing, MI)
- …in a related field. . 2-4 years of project coordination, training administration , vendor management , or related experience preferred. . Exceptional attention ... **Job Description** The Project Consultant is an entry-level project management role that manages deliverables throughout the implementation project, including plan… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …or service level. The CLC RN collaborates with the Minimum Data Set (MDS) coordinator to ensure accuracy of the Resource Utilization Group (RUG) score. VA ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …education, orientation, competencies and providing quality improvement and outcomes utilization . Practice includes directing other providers. Partners with the ... education, orientation, competencies and providing quality improvement and enhance outcomes utilization . Provides direct care for acutely ill patients who are… more
- Veterans Affairs, National Cemetery Administration (Augusta, MI)
- …rated on the following Competencies for this position: Leadership Financial Management Administration and Management Contracting/Procurement Communication ... INSTALLATIONS DURING EMPLOYMENT. Selected candidates, from outside the National Cemetery Administration , must coordinate with management to develop a… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …when providing and/or supervising direct patient care. The incumbent provides case management of care activities for post 9/11 service members and Veterans treated ... education, orientation, competencies and providing quality improvement and outcomes utilization . Responsible for acquiring and demonstrating clinical expertise and… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …and Pension Mental Health evaluations. Provide Mental Health oversight to National Utilization Management Integration (NUMI) to complete appropriate and timely ... representative of Mental Health Service and/or Psychiatry Service as requested. Management and Supervision of staff within Psychiatry Service. Provide clinical… more
- Fifth Third Bank, NA (Birmingham, MI)
- …Third Bank. GENERAL FUNCTION: Serves as the trusted advisor and team coordinator to simplify complexity for Private Bank clients by challenging and collaborating ... credentialed specialists to provide wealth planning, investments, private banking, risk management , and trust services. Ensures delivery and execution of Private… more
- Henry Ford Health System (Troy, MI)
- … Manual policies and the Master Tiering Database, requests by the Utilization Management Committee and HAP code-related committees, and other issues ... member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on...work with BCT on coding changes approved by the Utilization Management Committee or leadership. + Work… more