- AmeriHealth Caritas (Detroit, MI)
- …care coordination for Medicare beneficiaries with complex medical, behavioral health, Long - Term Services & Supports (LTSS), and psychosocial needs. This ... roles serving individuals with chronic conditions or disabilities. + Strong understanding of Medicare -Medicaid Plan Long - Term Services and Supports (MMP… more
- Corewell Health (Dearborn, MI)
- …About the facility With 2 floors, 4 units, we are able to provide care for long term care residents and post-acute rehab patients. The first floor has 96 beds ... $750.00 starting bonus! A Wing is a 58 bed Medicare /Medicaid unit that has residents with multiple clinical issues...you will be serving. We care for dementia residents, long term care and a rehab residents.… more
- R1 RCM (Detroit, MI)
- …with potential clients **Requirements:** + 10+ years of experience selling services surrounding Medicare reimbursement, combined with a strong/effective presence ... This scale provides unmatched operational insight to help healthcare organizations unlock greater long - term value. To learn more, visit: https://www.r1rcm.com . more
- Guidehouse (Detroit, MI)
- …+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short- Term & Long - Term Disability + Tuition Reimbursement, Personal ... Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review and timely resolution of assigned … more
- Deloitte (Detroit, MI)
- …including value based care/ACO modeling + Knowledge of group insurance products including disability, long term care, etc. The wage range for this role takes ... December 15th, 2025.Work You'll Do + Provide strategic and technical consulting services to public sector clients + Support engagements focused on Medicaid… more
- United Therapeutics (Detroit, MI)
- …Teams + Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in ... of essential things like provider engagement, specialty pharmacies, patient services offerings, and the referral process. You want to...In addition, this role is eligible for the Company's short- term and long - term incentive programs.… more
- Molina Healthcare (Warren, MI)
- …officer on denial decisions. * Resolves escalated complaints regarding utilization management and long - term services and supports (LTSS) issues. * Identifies ... the plan such as utilization review, medical claims review, long - term services and supports (LTSS),...Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG,… more
- Presbyterian Villages of Michigan (Chesterfield, MI)
- …3 years' experience with Medicare , Medicaid and Third Party billing in Long Term Care. Computer Skills Ability to operate a computer Proficient in ... vendor information, invoices, and payments. **Responsibilities** 1. Compute rates for services rendered to complete billing documents. 2. Review documents to compute… more
- Molina Healthcare (Detroit, MI)
- …Holidays) JOB DESCRIPTION Job Summary Provides support for care management/care coordination long - term services and supports specific activities and ... of MI. This position will support our MMP (Medicaid Medicare Population) will be supporting DSNP. This position will...services for members including behavioral health care and long - term services and supports (LTSS)… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/ term life/ long - term care (many federal insurance programs can be ... health record documentation. Knowledge of The Joint Commission requirements, Centers for Medicare and Medicaid Services (CMS), and/or health record documentation… more
- Gentiva (Clinton Township, MI)
- …to MSN) + Free Continuing Education Units (CEUs) + Company-paid Life & Long - Term Disability Insurance + Voluntary Benefits (Pet, Critical Illness, Accident, LTC) ... patient outcomes. **Key Responsibilities:** + Oversee and ensure quality medical services delivered by hospice physicians across multiple locations. + Certify and… more
- Tenet Healthcare (Detroit, MI)
- …Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder C childcare, auto C home insurance. ... This position integrates national standards for case management scope of services including: Transition Management promoting appropriate length of stay, readmission… more
- Tenet Healthcare (Detroit, MI)
- …Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder C childcare, auto C home insurance. ... This position integrates national standards for case management scope of services including: Transition Management promoting appropriate length of stay, readmission… more
- CVS Health (St. Clair Shores, MI)
- …proactive plan of care to address identified issues to enhance the short and long - term outcomes as well as opportunities to enhance a member's overall wellness. ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...in their homes to evaluate for appropriateness for waiver services , writing the waiver and submitting for approval. +… more
- CVS Health (Detroit, MI)
- …proactive plan of care to address identified issues to enhance the short and long - term outcomes as well as opportunities to enhance a member's overall wellness.* ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...in their homes to evaluate for appropriateness for waiver services , writing the waiver and submitting for approval. *… more
- Molina Healthcare (Warren, MI)
- …management. * Promotes integration of services for members including behavioral health, long - term services and supports (LTSS), and home and community ... LLMSW) in the state of MI. This position will support our MMP (Medicaid Medicare Population). This position will have a case load and manage members enrolled in… more