- 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
- Molina Healthcare (Sterling Heights, MI)
- …Summary** Provides 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
- Healthcare Services Group, Inc. (Sterling Heights, MI)
- Compensation Range $18 - $22 per hour. Overview Role: Dining Services - Assistant Manager Join Healthcare Services Group (HCSG) as a Dining Services ... We Offer + Free Telemedicine* + Free Prescription Discount Program + Free Employee Assistance Programs + Get paid...and customer service . + Support the Dining Services Manager in managing daily dining operations,… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… 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 (Warren, MI)
- …This position will have a case load and manage members enrolled in this program . We are looking for Registered Nurses who have experience working with manage care ... member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports… more
- Molina Healthcare (Sterling Heights, MI)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Sterling Heights, MI)
- …including behavioral health, long-term care, and population health-related education and services for members with high-need potential. Strives to ensure member ... and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications **LVN is preferred for this role.**… 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
- Henry Ford Health System (Warren, MI)
- …follow-up. EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Social Work, Community Health, Healthcare Services , Child & Family Services , Criminal ... Dyke Lincoln High School- Warren, Michigan + The Care Manager serves as a member of the integrated, multidisciplinary...skills + Bachelor's degree in: Social Work, Community Health, Healthcare Services , Child & Family Services… 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
- Compass Group, North America (Rochester, MI)
- …provides customer focused support services . As specialists, we perform services including healthcare housekeeping, management in laundry processing, patient ... transportation, and food service . TouchPoint is a compilation of the most committed...to our clients. **Job Summary** **The Director of Dining Services ** is an exciting opportunity for an energetic, entrepreneurial… more
- Molina Healthcare (Sterling Heights, MI)
- …Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), ... business segment (ie Medicare, Marketplace, advanced imaging/central utilization management services ) in the development and execution of care management,… more
- Humana (Grosse Pointe Woods, MI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and...and coordinate care plans ensuring that patients receive appropriate services to manage their health needs effectively. Addressing barriers… more
- Humana (Grosse Pointe Woods, MI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs...performance-based bonus** + **$5,000 sign-on bonus** + Employee Referral Program + Ability to work from home 80% of… 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 (Clinton 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
- Genesis Healthcare (Clinton 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...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), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more