- Humana (Canton, MI)
- …2** **years experience in health care and/or case management** + **Active Michigan Registered Nurse ( RN ) license with no disciplinary action** + **Must ... skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or Clinical Nurse Specialist with** **a minimum of… more
- Option Care Health (Detroit, MI)
- …performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse ( RN ) or licensed Pharmacist in the state ... and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (PACS- Patient Monitoring at Home Program) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and ... advancement **Responsibilities This position is responsible for serving as a telehealth Registered Nurse providing monitoring services to patients enrolled in… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse ( RN ) Patient Safety Manager - aligned under Executive Service ... Responsibilities The Registered Nurse ( RN ) is responsible...and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12825271. Grade/Level Scope Education Nurse I, Level I Delivers fundamental,… more
- Molina Healthcare (Detroit, MI)
- …coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted in ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified… more
- Henry Ford Health System (Troy, MI)
- … education , process improvements, patient satisfaction). The Central Authorization Specialist is accountable for a designated caseload and plans effectively in ... The purpose of the Central Authorization Specialist position is to centrally facilitate the successful...quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with… more
- Sedgwick (Detroit, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... vocational skills needed for particular employment positions; makes decisions or assists case management staff in making decisions regarding a client's competence in… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Point of Use Specialist will have overall ownership and accountability for supporting the procedural case cart picking function and proper ... procedures/services assigned. The focus for this position will be to conduct the case cart picking function for procedural supplies in the Operating Room inventory… more
- Sedgwick (Detroit, MI)
- …**QUALIFICATIONS** ** Education & Licensing** Bachelor's degree or equivalent preferred. RN , LVN, CRC, COHN CVD, LPC and/or LCSW preferred. Current license, ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and… more
- Molina Healthcare (Detroit, MI)
- …behavioral health, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed… more
- Molina Healthcare (Detroit, MI)
- …Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse ( RN ), Licensed practical ... of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position ensures adherence to state… more
- University of Michigan (Ann Arbor, MI)
- …commodity budget for the patient care unit. + Collaborate with the Clinical Nurse Specialist to initiate and implement inservice guidelines for unit-level ... Nurse Recruitment at ###. **Required Qualifications + Current licensure as a Registered Nurse in the state of Michigan. + Required educational requirement: +… more
- University of Michigan (Ann Arbor, MI)
- …Medicare Advantage, Varis, Medicaid and other various commercial audits. The Appeals Specialist will communicate and provide education , with information gained ... Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and audit practices for… more