- Molina Healthcare (Sterling Heights, MI)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Healthcare Services Group, Inc. (Richmond, MI)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... and embraced. Join Our Team Join Our Team (https://careers-hcsgcorp.icims.com/jobs/675444/environmental- services manager -in-training/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336028984) Submission FAQs (https://icims.help/candidate-faq) Job… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Sterling Heights, MI)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- Trinity Health (Pontiac, MI)
- …management review. Keeps Regional Manager , THS informed of issues affecting program costs, service capabilities, effectiveness and efficiencies, as well as ... in a large or sizeable multi-hospital setting. The Senior Manager of Food & Nutrition Services is...day-to-day management of the RHM's FANS department and ensures program service support objectives are met. Provides… more
- Walgreens (Rochester Hills, MI)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Henry Ford Health System (Troy, MI)
- …continuous assistance and monitoring regarding the efficiency and appropriateness of healthcare services for clients. This involves assessing the effectiveness ... REGISTERED NURSE CLIENT FOCUSED CASE MANAGER (REMOTE) - SUPPORTIVE CARE MANAGEMENT - 40...determinants of health (SDOH) to determine the need for healthcare services and drive improvements in utilization… more
- Henry Ford Health System (Troy, MI)
- …to all regulatory requirements. PRINCIPLE DUTIES AND RESPONSIBILITIES: + Facilitate access of healthcare services for SNP eligible members and identify plans for ... Management for our Chronic-Special Needs Program (C-SNP) and Dual-Special Needs Program (D-SNP) group. We provide services to Medicare eligible patients… more
- State of Michigan (New Haven, MI)
- Registered Nurse Manager 13 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5145275) Apply Registered Nurse Manager 13 Salary $41.39 - ... across the department. The Department has many benefits and services available to support our military and veteran employees,...of a degree in nursing or nursing school educational program accepted for registered nurse licensure by the Michigan… more
- Molina Healthcare (Sterling Heights, MI)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Genesis Healthcare (Shelby Township, MI)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...patients and their families receive the highest quality of service in a caring and compassionate atmosphere. If this… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must… more
- Genesis Healthcare (Lapeer, MI)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an… more
- Molina Healthcare (Sterling Heights, MI)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Sterling Heights, MI)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Sterling Heights, MI)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Sterling Heights, MI)
- …entry and telephone and clerical support for team facilitating care management related services for members. * Facilitates initial review of assigned case levels and ... needs and works under the direction of the care manager to implement care plan. * Schedules member visits...care management staff during process of identifying appropriate member services . * Coordinates required member services in… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Under the direction of the Utilization team manager to provide administrative, operational, and organizational support for the Utilization ... spreadsheet (EXCEL) preferred. + Experience or familiarity with community support services preferred. + Excellent verbal and written communication skills preferred.… more
- Henry Ford Health System (Troy, MI)
- …performing day-to-day operations for the outpatient clinical documentation improvement program across the multi-facility integrated healthcare delivery system. ... work assignments, quality reviews, and report management for the Outpatient CDI program . Acts as a liaison for physicians, medical group leadership, clinical and… more
- PNC (Richmond, MI)
- …their goals. PNC's targeted small business segments are Retail, Agricultural, Healthcare , Manufacturing, Professional Services , Wholesale and Women in Business. ... to contribute to the company's success. As a Relationship Manager I - Business Banker within PNC's Business Banking...goals and business objectives. You will work with internal services partners to on-board and expand the business portfolio.… more