- Molina Healthcare (Sterling Heights, MI)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Molina Healthcare (Troy, MI)
- …The Specialist, Member & Community Interventions implements new and existing clinical quality member intervention initiatives including all lines of business ... between other departments within the organization + Supports provision of high- quality clinical care and services by facilitating/building strategic… more
- Corewell Health (Sterling Heights, MI)
- …of the nutrition diagnosis, developing nutrition focused, evidence based interventions (including the nutrition prescription, example: diet/feeding order; and ... to a culture that aims to provide safe, high quality care. Essential Functions + Competent RD requiring minimal...perform the duties and display the characteristics of a clinical professional. Identifies with and adheres to the code… more
- Henry Ford Health System (Troy, MI)
- …the total cost of care. This position will be day hours (M-F ) working in clinical practices in the Detroit & Dearborn areas three days a week and for in person ... as needed, with some remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered care team or treatment team… more
- Corewell Health (Southfield, MI)
- …data trends for groups of members. + Documents member data, plan, interventions and outcomes according to department guidelines. + Ensures processes and services ... are continuously monitored for quality , cost effectiveness, and efficiency,...Bachelor's Degree or equivalent Nursing + 5 years of Clinical Nursing and /pr case management/managed care or related… more
- Molina Healthcare (Sterling Heights, 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 severity of ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Corewell Health (Royal Oak, MI)
- …technicians) and CAs ( clinical assistants). It is led by a Clinical Nurse Manager , an Associate Clinical Manager on the off-shift, and a Nurse in ... East is a Surgical Critical Care Unit, specializing in cardiovascular surgical interventions . We also provide care to patients requiring general surgical … more
- Sunrise Senior Living (West Bloomfield, MI)
- …to participating in the evaluation of and service planning for residents, leading the care manager team in the provision of high quality , safe care to residents, ... for bathing, laundry, and housekeeping services. + Conducts monthly Lead Care Manager Meetings. Quality Assurance and Regulatory Compliance: + Follows all… more
- Corewell Health (Troy, MI)
- …and manages operational improvement projects throughout the organization including both clinical and non- clinical areas to accomplish measurable improvements in ... and informal leadership to less experienced team members. Effectively partners with clinical and non- clinical staff and leadership across the organization to… more
- McLaren Health Care (Shelby Township, MI)
- … management and process improvement activities and staff meetings as delegated the RN, Clinical Manager and/or unit Director. + Performs other related job duties ... care role. + Receives report from appropriate RN.Performs specific patient care interventions as delegated by the RN in an effort to identify/attain treatment… more
- Trinity Health (Livonia, MI)
- …disciplines and services if need identified, and coordinates care with office care manager to ensure effective and efficient care is provided. + Utilizes interview, ... and applies nursing judgment, consistent with practice standards, in formulating interventions and making recommendations to the physician, agency, and client. +… more
- BrightSpring Health Services (Canton, MI)
- …on delivering high- quality therapy, so we provide exceptional administrative and clinical support to make your job easier and more fulfilling. Our BCBAs are ... scheduled, so you don't have to chase down sessions. + Reports - Our Quality Control team partners with you to review reports, provide training, and ensure your… more
- Corewell Health (Royal Oak, MI)
- …nursing for new grads. The unit has a focus on acute strokes, neurosurgical interventions , such as craniotomies, spine procedures and VP shunts. In addition, a 4-bed ... adult and Level II pediatric trauma designations. The advanced capabilities and clinical expertise within this center have earned it Magnet designation four… more
- Trinity Health (Ann Arbor, MI)
- …numerous local and national awards acknowledge our unwavering commitment to leadership, quality outcomes, and clinical excellence. **Our Commitment to Diversity ... tumors, malignancies, and terminal illness. We offer a variety of therapeutic interventions , from chemotherapy to palliative care services. + The Nurse Coordinator… more
- University of Michigan (Ann Arbor, MI)
- …CPT codes for planned outpatient services and provide codes and clinical documentation to payors utilizing payor specific communication protocols. + Prioritize ... document all actions, payor and patient contacts, authorization outcomes and interventions following standardized workflow processes. + Respond and address insurance… more
- Trinity Health (Ann Arbor, MI)
- …+ Documents cardiac rhythms on the Cardiac Monitor Flow Sheet and patient behaviors/ interventions on the Patient Monitoring Log. + Delivers rhythm strips and other ... all preventable hazards and unsafe practices immediately to management. + Provides quality patient care by considering the age specific, development and cultural… more