- Molina Healthcare (Grand Rapids, MI)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Elevance Health (Dearborn, MI)
- …work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. The Clinical Quality Program Manager is responsible for serving as ... reporting is in place. + Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of… more
- Baylor Scott & White Health (Lansing, MI)
- **JOB SUMMARY** As a licensed clinician, the Clinical Program Manager is accountable for leading clinical programs, clinical performance, and/or contract ... obligations. + Proactively identifies, plans, implements, evaluates, and monitors quality improvement and performance improvement initiatives. + Significantly contributes… more
- University of Michigan (Ann Arbor, MI)
- …+ Identifies facilitators and addresses barriers that affect patient outcomes. + Leads clinical practice and quality improvement initiatives for a unit or a ... CLINICAL NURSE SPECIALIST (CNS)- NICU at Mott Hospital...advanced knowledge, experience to pose problems amenable to advanced interventions . + Conducts comprehensive, holistic wellness and illness assessments… more
- University of Michigan (Ann Arbor, MI)
- … Care Coordinator will assist the program faculty, administrator, and the regulatory/ quality manager in the development of best practice guidelines for ... to society. **Responsibilities As a member of a multidisciplinary team, the RN Clinical Care Coordinator will provide quality care to patients, caregivers and… more
- CenterWell (Lansing, MI)
- …for successful clinic performance + Maintain accurate and thorough documentation of clinical interventions and patient care activities + Conduct in-service ... and help us put health first** We are seeking an ambitious and goal-oriented Clinical Pharmacist with over 5 years of experience to join our primary care… more
- Sharecare (Lansing, MI)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary ... total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible… more
- Public Consulting Group (Lansing, MI)
- …* Document all care activity via case management software system * Promotes quality and cost-effective interventions and outcomes * Assesses and addresses ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes +… more
- Highmark Health (Lansing, MI)
- …to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an ... performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members… more
- Henry Ford Health System (Detroit, MI)
- …impact on the lives of patients and their families. Your expertise in clinical care, discharge planning, and quality improvement will be instrumental in ... these qualifications, you will be well-prepared to excel in the role of Case Manager -RN and contribute to the delivery of high- quality patient care. #IND1… more
- Henry Ford Health System (Detroit, 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
- Munson Healthcare (Traverse City, MI)
- …individualized treatment services that are evidence-based to improve health, wellness, and quality of life for patients. + Provides clinical coverage for ... Patient Care Manager IP BH Job Code: 1047 Job Summary Provides direct clinical services to patients within Munson Medical Center Inpatient Behavioral Health… more
- Henry Ford Health System (Troy, MI)
- …the Clinical Success leadership team, the Client Focused Case Manager is responsible for the collaborative practice of assessment, planning, facilitation, care ... REGISTERED NURSE CLIENT FOCUSED CASE MANAGER (REMOTE) - SUPPORTIVE CARE MANAGEMENT - 40... quality management processes to ensure members receive quality , cost-effective care that aligns with clinical … more
- Sharecare (Lansing, MI)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Corewell Health (Grand Rapids, MI)
- … clinical judgment and expertise to coordinate care management/behavioral health interventions . Develops strategies to ensure cost effective, quality care ... will promote optimal health. Assesses, plans, monitors, and provides therapeutic interventions as appropriate. Collaborates with patient and family to facilitate… more
- Molina Healthcare (MI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Completes clinical assessments of members per regulated timelines and determines who may qualify… more
- Molina Healthcare (MI)
- …plan to achieve performance goals. + Direct management of QS HPP program manager . Coordination with health plan quality staff. Ensure organization with other ... years of experience in Managed Care and/or health plan quality . Clinical experience is needed for positions...for positions that are focused on Accreditation, Compliance, HEDIS Interventions , Potential Quality of Care issues, and… 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 ... initiate interventions to prevent/minimize patient skin breakdown. + Follow clinical practice guidelines and procedures as written. + Establish and maintain… 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 ... initiate interventions to prevent/minimize patient skin breakdown. + Follow clinical practice guidelines and procedures as written. + Establish and maintain… 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 ... initiate interventions to prevent/minimize patient skin breakdown. - Follow clinical practice guidelines and procedures as written. - Establish and maintain… more