- ABL Hospice (Oakland, MI)
- …patient conditions, and report signs/symptoms signaling a change in patient condition to Physician , Case Manager, and/or as needed Director of Nursing. *Maintain ... of our patients. If you are passionate about providing quality care, possess strong organizational skills, and thrive in...of care. You'll be working closely with our Clinical Director and Clinical Staff, providing support both remotely and… more
- Corewell Health (Troy, MI)
- Title: Medical Director of Quality , Corewell Health Department: Quality , Safety, Experience Reports To: SVP, Chief Quality Officer, Corewell Health ... Primary Responsibilities The Medical Director of Quality (MDQ) will oversee all quality improvement, patient safety and quality /safety related… more
- Molina Healthcare (Sterling Heights, MI)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance ... of claims and appeals and resolves grievances related to medical quality of care. + Attends or...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Molina Healthcare (Sterling Heights, MI)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance ... of claims and appeals and resolves grievances related to medical quality of care. + Attends or...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Molina Healthcare (Sterling Heights, MI)
- …Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/ Quality Program management + Previous ... of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities....and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior… more
- Corewell Health (Sterling Heights, MI)
- …team at Corewell Health. GENERAL SUMMARY: Under the general guidance of the medical director , the Nurse Practitioner/ Physician Assistant will evaluate, ... deviations from normal in the physical assessment. Works in collaboration with a physician in formulating treatment plans for health problems and follow-up. + Writes… more
- Molina Healthcare (Sterling Heights, MI)
- …contracts with the Complex Provider Community that result in high quality , cost effective and marketable providers. Contract/Re-contracting with large scale entities ... recontracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation… more
- Corewell Health (Sterling Heights, MI)
- …primary contact for outside departments for Inpatient coding related questions. Reports to the Director of Medical Records and the Coding Manager a list of aged ... accounts. Follow-up with the Medical Records Staff and/or Physician as necessary...coding issues + Reports all aged accounts to the Director of Medical Records and Manager of… more
- Molina Healthcare (Sterling Heights, MI)
- …success of the Plan, including but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role ... contracts with the Complex Provider Community that result in high quality , cost effective and marketable providers. Contract/Re-contracting with large scale entities… more
- Elara Caring (Clarkston, MI)
- …services in accordance with accepted standards of practice and certified by the patient's physician to ensure quality and continuity of care. + Follows Plan of ... home, and that's why our teams continue to provide high- quality care to more than 60,000 patients each day...+ Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer… more
- Henry Ford Health System (Troy, MI)
- …processes within value-based reimbursement models and initiatives. Reporting to the Director , Risk Adjustment and Value-Based Payment, the Program Manager is ... with key stakeholders, dashboard and reporting development, and working closely with physician and system leadership to drive progress toward system goals. This… more
- Molina Healthcare (Sterling Heights, MI)
- …agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality , cost effective and ... marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director /Manager Provider Contracts, negotiates value-based high priority physician … more
- Molina Healthcare (Sterling Heights, MI)
- …leadership based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting. * ... letters of agreements with non-complex provider community that result in high quality , cost effective and marketable providers. Maintains tracking system and publish… more
