- Public Consulting Group (Lansing, MI)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Guardian Life (Lansing, MI)
- The **Group Life/Supplemental Health Claims Case Manager II** is responsible for making timely and accurate decisions on assigned claims through proactive ... superior customer service to all internal and external customers. The Claims Case Manager II administers claims within a variety of group sizes ranging from… more
- CVS Health (Lansing, MI)
- …and every day. **Position Summary** CVS Health Aetna has an opportunity for a full-time Case Manager , Registered Nurse (RN). Case Managers serve as dedicated ... EST No nights, weekends, or holidays required. **Key Responsibilities of the Case Manager RN** (Includes but is not limited to) + Conduct comprehensive… more
- CVS Health (Lansing, MI)
- …expense reimbursement policy **Preferred Qualifications** + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience + Home Health ... status of the patient. + Applies in-depth knowledge of case management and nursing practices to organize patient files...have access to appropriate cost-effective care. + Configures the case management system to organize cases dealing with disease… more
- Guardian Life (Lansing, MI)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FML client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims within a… more
- Elara Caring (Okemos, MI)
- …Care, at the Right Time, in the Right Place. **Job Description:** **Hospice RN Case Manager ** **Position** : Full-Time | **Branch: East Lansing, MI** | Coverage: ... care, at the right time, in the right place_ . As a **Hospice RN Case Manager ** , you'll partner with an elite team of healthcare professionals and build strong… more
- CVS Health (Lansing, MI)
- …discharge planning and/or home health care coordination experience + Certified Case Manager + Additional national professional certification (CRC, CDMS, ... themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of… more
- Sedgwick (Lansing, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...\#nurse #fieldcasemanager **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Cardinal Health (Lansing, MI)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Sedgwick (Lansing, MI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** ... **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to facilitate progressive medical… more
- Guardian Life (Lansing, MI)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who… more
- Cardinal Health (Lansing, MI)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Cardinal Health (Lansing, MI)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Highmark Health (Lansing, MI)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Lansing, MI)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- McLaren Health Care (Lansing, MI)
- …making appropriate referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement, and other outside agenciesper Standard ... other members of the healthcare team. 9. Actively participates in clinical case review/rounds with the interdisciplinary team. 10. Documents in the electronic… more
- Public Consulting Group (Lansing, MI)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Evolent (Lansing, MI)
- …Pacific Coast time during standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus - Preferred + Knowledge and ... experience teaching self-management. - Preferred + Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion; fluency in a foreign language is a plus.- Preferred + Strong work ethic built on a… more
- Intermountain Health (Lansing, MI)
- …Nurse (RN). Preferred Qualifications + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position level. ... + 2 years' nursing experience outpatient care. + 1 year Care Management experience. **Physical Requirements:** Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs. - and… more
- BrightSpring Health Services (Lansing, MI)
- …clinical outcome tools based on diagnosis.. Monitors patient, family, physician and payer/ case manager , referral source satisfaction with the program on a ... Plans/Progress Reports on a regular basis to the physicians, external case manager /payor and/or patient/family members.. Schedules/facilitates interdisciplinary … more