- Detroit Medical Center (Detroit, MI)
- … management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical ... timely payment for services that may require negotiation with a payor on a case -by- case basis. This position integrates national standards for case … more
- CVS Health (Lansing, MI)
- …optimize member participation in case management programs. Behavioral Health Case Manager utilizes advanced clinical judgment and critical thinking ... for face to face visits.This role is a telephonic clinical case management position working with our...skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Clinical Manager provides clinical and operational management over all behavioral health programming and services delivered to the ... Behavioral Health Outpatient Prior Authorization program, Utilization Management, Outpatient Case Management program, Emergency Services program or Behavioral … more
- Samaritas (Kalamazoo, MI)
- Position Details **ENHANCED FOSTER CARE CLINICAL CASE MANAGER ** Retention bonus totals $4000 over first year in position. Do you have a Master's Degree in ... OR a Bachelor Degree AND 2 years of experience in child welfare or behavioral health field? Welcome to Samaritas Nation! The client-centered team member we seek will… more
- Tenet Healthcare (Detroit, MI)
- … Management and Compliance policies, Transition Management, and other topics specific to case management. 6. Accredited Case Manager (ACM) preferred. Skills ... Clinical Social Worker Case Management FT...and intervention for patients identified with identified needs including behavioral health, lack of support systems, financial barriers, end… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Manager , Behavioral Health Programs Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2847630&source=2847630-CJB-0) Job Title: Manager , Behavioral Health Programs Job Status: Full-time… more
- Molina Healthcare (Muskegon, MI)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Highmark Health (Lansing, MI)
- …**Required** + 5 years of Post licensure experience in any combination of behavioral health clinical , case management and/or condition management ... clinical and motivational interviewing skills to assess both behavioral and physical health needs, and social determinants of...Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction… more
- Highmark Health (Lansing, MI)
- …year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. +...Worker (LMSW) + Licensed Clinical Social Worker (LCSW) + Experience working with HIV/AIDS… more
- Highmark Health (Lansing, MI)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Humana (Lansing, MI)
- …This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined ... TRICARE Operations Manual Chapter 18, section 4. This associate will conduct clinical necessity reviews for requested ABA services when approving all treatment plans… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... as a liaison with MD/ Clinical Treatment Team and external agencies. The Case Manager will also report authorizations, denials, and documentation concerns, as… more
- Molina Healthcare (Detroit, MI)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... MMP (Medicaid Medicare Population). This position will have a case load and manage members enrolled in this program....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Molina Healthcare (Detroit, MI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... Community Well Services team. This position will have a case load and manage members enrolled in this program....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Prime Healthcare (Garden City, MI)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At ... for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute...and knowledge in basic to intermediate computer skills. + Behavioral Violence Prevention Training within 3 months of hires… more
- Insight Global (Traverse City, MI)
- Job Description The Foster Care Case Manager is primarily responsible for providing case management services for abused, neglected children who may also be ... agency, federal, and state regulatory requirements. ESSENTIAL JOB RESPONSIBILITIES * Provide case management services to children in foster care; * Attend and… more
- Elara Caring (Novi, MI)
- …+ Previous experience with Homecare HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor _This is not a comprehensive ... our success in the following ways: + Assesses assigned case load of behavioral health care patients...and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and… more
- Elara Caring (Clinton Township, MI)
- …perfectly with our mission. Joining forces with **Elara Caring** as a **Hospice RN Case Manager ** allows you to extend exceptional care across the entire care ... continuum. As an RN Case Manager in our Hospice service line,...to perform job task You will report to the Clinical Team Manager . _This is not a… more
- Insight Global (Alma, MI)
- …parents; Attend weekly meetings with supervisor to consult on cases, to review case plan and direction and to evaluate client participation and progress; Co-lead ... https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Bachelor's level degree in Behavioral Sciences, Human Services, or a Social Services field… more
- Merck (Lansing, MI)
- **Job Description** This role will be key to ensure strong monitoring in our clinical trials. Under the oversight of the CRD or Head of Site Management and ... local regulations, company SOPs and ICH GCP. As line manager the role is critical to continuously develop key...if requested to. + Interface with GCTO partners on clinical trial execution. + Escalates site performance issues to… more
