- McLaren Health Care (Davison, MI)
- …presents education programs and other educational materials addressing areas of concern on quality and patient safety. f. Provides risk and patient safety ... state license as a registered nurse. 3. Certified Professional in Healthcare Risk Management (CPHRM), Certified Professional in Healthcare Quality (CPHQ) or… more
- Corewell Health (Royal Oak, MI)
- …is 2 days per week. Join our team at Corewell Health as an RN Senior Clinical Risk Specialist and play a pivotal role in shaping the future of healthcare ... position, you will be at the forefront of minimizing clinical risk , ensuring compliance with healthcare standards,...quality and safety of patient care for designated clinical areas within the organization. Monitors trends in … more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Outpatient Clinical Documentation (CDI) Manager is responsible for managing, coordinating, and performing day-to-day operations for the ... outpatient clinical documentation improvement program across the multi-facility integrated healthcare delivery system. Day-to-day operations include personnel… more
- Sunrise Senior Living (Troy, MI)
- …members. Quality Assurance and Regulatory Compliance: + Tracks, trends, and reports clinical quality data to identify risk . + Participates actively as ... data preferred. + Experience in quality and clinical process improvement and risk assessment preferred. + Experience in staff development, training, and/or… more
- Tenet Healthcare (Commerce Township, MI)
- Clinical Dietitian Oncology Part Time Days - 2506002584 Description : DMC Huron Valley-Sinai Hospital in Oakland County is committed to outstanding customer service ... hospitals in the nation. Job Summary: Reports to the Manager , Oncology Center, conducts a nutrition assessment for all...a nutrition assessment for all patients identified at nutritional risk to determine an appropriate plan of nutrition therapy… more
- Molina Healthcare (Sterling Heights, MI)
- …and post-go‑live; steward change management (training, SOPs, job aids, communications). + Risk , Compliance & Quality : Ensure alignment to CMS, HIPAA, state ... leading readiness, cutover planning, and post-go live stabilization. + Hands-on governance, quality assurance, risk management, and escalation handling in a… more
- BrightSpring Health Services (Southfield, MI)
- …Company Gateway Pediatric Therapy Overview The Client Safety & Compliance Manager is responsible for independently overseeing and strategically advancing the ... safety policies, developing systems and procedures, and advising leadership on risk management and regulatory matters. This role will develop, implement, and… 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
- CVS Health (Southfield, MI)
- …Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which ... leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... trends or other issues related to medical care costs. + Work with clinical , provider network and other personnel to bring supplemental context/insight to data… more
- Molina Healthcare (Sterling Heights, MI)
- Molina Healthcare is hiring for a Post Acute Network Program Manager in Michigan **.** This role is remote with up to 25% statewide travel. Molina Healthcare is ... seeking a Post Acute Network Program Manager to join our Population Health team! In this...that enhance post-acute care performance. This is **not a clinical role** , but it requires a strong understanding… more
- Molina Healthcare (Troy, MI)
- …with Molina policies/procedures or CMS guidelines/regulations, or to assess the non- clinical quality of customer service provided to Molina members. ... provider issues that may cross departmental lines including Contracting, Finance, Quality , Operations, and involve Senior Leadership. * Responsible for Provider… more
- McLaren Health Care (Pontiac, MI)
- …identifies which family member is the point of contact. 6. Assesses risk of readmission for specified patient populations and initiates assigned interventions that ... and other members of the healthcare team. 9. Actively participates in clinical case review/rounds with the interdisciplinary team. 10. Documents in the electronic… more
- ChenMed (Warren, MI)
- …and market leadership to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other ... overall clinical value while engaging physicians to improve clinical quality , efficiency, outcomes, cost effectiveness, and physician/patient satisfaction.… more
- Molina Healthcare (Sterling Heights, MI)
- …contracting and provider relations, member services, claims management, payment integrity, pharmacy, quality and risk adjustment. * Acts as a critical segment ... Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC),… more
- Henry Ford Health System (Grand Blanc, MI)
- …immediately; reports complaints that cannot be immediately resolved to Patient Care Director, Clinical Manager , or House Supervisor. + Promote a physically safe ... of Patient Care and Benner's Domains of Nursing Practice, demonstrates clinical competence; compassion and customer service orientation; focus on process and… more
- Erickson Living (Novi, MI)
- …appropriate policies for infection control monitoring and reporting. + Monitoring clinical quality areas including wound care, infection control, falls ... in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/ Risk Management/Safety (PI/RM/S) Committee. + Reviewing clinical outcomes… more
- BrightSpring Health Services (Utica, 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 ... have to chase down sessions. + Reports - Our Quality Control team partners with you to review reports,...and revises plan as indicated + Consults with Program Manager and/or Executive Director when client behaviors present potential… more
- McLaren Health Care (Lapeer, MI)
- …Registered Respiratory Therapist (RRT)** Works under the leadership of the Manager , Sleep/Neuro/PFT and according to established procedures, performs a variety of ... in diagnosis and treatment of respiratory disease/ailments, and to assess patient risk pre-operatively. Administers medication to aid in the diagnostic process and… more
- Hospice of Michigan (Southfield, MI)
- …to provide assessment information after the initial visit and with the clinical manager or designee to provide patient/family information, including unusual ... psychosocial and environmental needs, and activities of daily living, including: the risk for pathological grief, cultural and spiritual implications, and verbal and… more