- 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=3456262&source=3456262-CJB-0) Job Title: Manager , Behavioral Health Programs Job Status: Full-time… more
- Molina Healthcare (Midland, MI)
- …oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider ... Behavioral Health arrangements. **Job Duties** This role negotiates contracts with the Complex Provider Community that...Based Relationship Contracts . * Develops and maintains provider contracts in contract management… more
- Molina Healthcare (Sterling Heights, MI)
- …to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts . * Assists behavioral ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of… more
- Molina Healthcare (Sterling Heights, MI)
- …policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties* Collaboratively ... of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.… more
- Humana (Lansing, MI)
- …our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a ... case management throughout the continuum of care. The case manager will offer guidance, support, and coordination of the...the beneficiary's care as directed by the beneficiary, the provider (s) or other members of the healthcare team and… more
- Centene Corporation (Lansing, MI)
- …assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective ... facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs + May perform telephonic, digital, home… more
- Highmark Health (Lansing, MI)
- …sales and customer service to respond to client/broker/member inquiries regarding provider contract , claim/member issues or provider file/record/directory ... territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement.… more
- Molina Healthcare (Grand Rapids, MI)
- …integrated delivery of member care across the continuum, including behavioral health, long-term care, and population health-related education and services ... member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Based on… more
- Molina Healthcare (Warren, MI)
- …member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Completes ... suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and… more
- Sherwin-Williams (Troy, MI)
- The Branch Assistant Manager works with the Branch Manager to organize, plan, and implement strategies in a Sherwin-Williams Automotive Branch. This includes ... interview partner. The interview will consist of a few behavioral based questions You'll be able to record and...or any other consideration prohibited by law or by contract . As a VEVRAA Federal Contractor, Sherwin-Williams requests state… more
- Molina Healthcare (Ann Arbor, MI)
- …member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Completes ... outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community… more
- Molina Healthcare (Warren, MI)
- …practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. **Essential Job Duties** + ... of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.… more
- CenterWell (Lansing, MI)
- …CMS requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal candidate supports and collaborates with other team members, ... go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'...put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest… more
- Advanced Correctional Healthcare (Allegan, MI)
- …deliver a higher standard of business services to support medical care and behavioral health care. We maintain professionalism, integrity, and commitment as we solve ... directly to and meets with the Assistant Regional Nurse Mangers, Regional Nurse Manager or Director Medical Operations, and prepares reports as requested + Always… more
- Elevance Health (MI)
- …and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical ... clinical experience; or any combination of education and experience, which would provide an equivalent background. + For Health Solutions and Carelon organizations… more
- Elevance Health (Dearborn, MI)
- …clinical experience; or any combination of education and experience, which would provide an equivalent background. + For Health Solutions and Carelon organizations ... (including behavioral health) only, minimum of 5 years of experience...is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing… more
- Molina Healthcare (MI)
- …and maintains relationships with assigned providers in tribal communities including Provider outreached (Indian Health Services and 638 Clinics). Achieves net growth ... within thirty (30) days of such meetings * Makes documented efforts to contract with the appropriate urban Indian clinics, Tribally owned health centers, and IHS… more
- University of Michigan (Ann Arbor, MI)
- …to the portal, and then send all other files directly to the QMSS Program Manager at [email protected] to be included with your application. Applicants that fail to ... software/tools/datasets. + Co-create problem sets and other assignments. + Grade and provide constructive feedback on assignments and projects. + Participate in QMSS… more