- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... therapy. For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily… more
- McLaren Health Care (Detroit, MI)
- …degree in coding/medical records/billing or healthcare related field + Two years of case management or utilization review, billing, or coding experience ... **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the...Ability to understand, interpret, explain, and use data for case management activities. + Ability to work… more
- Henry Ford Health System (Detroit, MI)
- …provided equipment. + Innovative Team Structure:Benefit from our new dyad Social Work/RN Case Manager model and remote utilization review setup, allowing ... **NEWLY ENHANCED PAY RATES** Inpatient Case Management Days (6am to 6pm);...environment? Join our team as a Registered Nurse (RN) Case Manager ! Who We're Looking For: Passionate,… more
- Trinity Health (Ann Arbor, MI)
- …demonstrated clinical expertise or equivalent experience and expertise as a Case Manager . + Certification: Case Management is desirable. + Individuals ... of backgrounds because diversity makes us stronger. The RN Registered Nurse Case Manager assumes overall accountability for patients' discharge plans while… more
- CVS Health (Lansing, MI)
- …and engaged in interventions that optimize member participation in case management programs.Behavioral Health Case Manager utilizes advanced clinical ... of the time for face to face visits.This role is a telephonic clinical case management position working with our Medicaid population. Use of Motivational… more
- Henry Ford Health System (Wyandotte, MI)
- …assessment, COPE and DWIHN knowledge, utilization review. GENERAL SUMMARY: The Case Manager is a member of the hospital or specialty-based patient-centered ... the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred.… more
- McLaren Health Care (Flint, MI)
- …state providing services. + Two(2)yearsclinicalnursingexperience. + One (1) year previous case management or utilization review experience. **Preferred:** ... We are looking for a Case Manager , RN to join us...advocate with emphasis on education regarding managed care, disease management and PCP treatment plans. Monitors member's utilization… more
- Tenet Healthcare (Detroit, MI)
- …timely patient throughput. Includes integration of national standards for Case Management scope of services, including utilization management supporting ... with all state and federal regulations. Will ensure effective utilization of resources, timely and accurate revenue cycle processes,...experience as approved by VP of Case Management required. Accredited Case Manager … more
- CTTX Health (Detroit, MI)
- …patient throughput. + Includes integration of national standards for Case Management scope of services, including utilization management supporting ... all state and federal regulations. + Will ensure effective utilization of resources, timely and accurate revenue cycle processes,...experience as approved by VP of Case Management required. Accredited Case Manager … more
- Henry Ford Health System (Detroit, MI)
- …provided equipment. + Innovative Team Structure: Benefit from our new dyad Social Work/RN Case Manager model and remote utilization review setup, designed to ... **NEWLY ENHANCED PAY RATES** RN Case Manager - Emergency Department Work...(3) years of acute care/inpatient nursing experience. . Inpatient Case Management and/or discharge planning and care… more
- Universal Health Services (Royal Oak, MI)
- …authorizations *Complete appeals for denied authorizations *Manage and update daily spreadsheets ( case utilization management and census management ) ... both new and existing referral sources. Qualifications Position Summary Case Manager will provide quality substance abuse... Manager will provide quality substance abuse case management services according to the program's… more
- Elevance Health (Detroit, MI)
- …hours** : 10am - 7pm Eastern Time, Monday - Friday The **Nurse Case Manager ll** is responsible for care management within the scope of licensure for members ... Nurse Case Manager ll (9am - 6pm...Nurse Case Manager ll (9am - 6pm Central Time) JR115052...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Tenet Healthcare (Detroit, MI)
- …policies, Transition Management , and other topics specific to case management . 6. Accredited Case Manager (ACM) preferred. Skills Required 1. ... Clinical Social Worker Case Management FT Days - 1406001636...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
- Amergis (Lansing, MI)
- The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making...in state practicing + At least one year of Case Management experience preferred + Complies with… more
- Trinity Health (Grand Haven, MI)
- …experience required; utilization review experience, discharge planning, or case management experience preferred. + Possesses effective interpersonal skills, ... demeanor in difficult situations. + Knowledge of the functional operations of utilization management , discharge planning, care coordination and transitions of… more
- Cayuse Holdings (Lansing, MI)
- …ecology, environmental science, or related field + 3-5 years of project or case management experience, preferably with municipal or community experience + Strong ... - USD $75,000.00 /Yr. Submit a Referral (https://careers-cayuseholdings.icims.com/jobs/1187/urban-%26-community-forestry- case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834356743) **Location** _US-N/A_ **ID** _102191_… more
- Trinity Health (Muskegon, MI)
- …to learn regulatory and accrediting agency standards and regulations relative to utilization management . Knowledge of federal, state and local regulations ... agencies, and patients and families.5. Leadership qualities including time management , verbal and written communication skills, listening skills, problem...affecting the utilization review program and payment as well as current… more
- McLaren Health Care (Bay City, MI)
- …_and_ maintenance of continuing education requirements **_Preferred:_** + Experience in utilization management / case management , critical care, ... **_External Description_** **Department: Case Management ** **Shift: Days** **Daily Work...Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from… more
- McLaren Health Care (Detroit, MI)
- …Association, and maintenance of continuing education requirements **Preferred:** * Experience in utilization management / case management , critical care, ... to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. Reviews current… more
- Deloitte (Detroit, MI)
- …PMs, Project Coordinators, etc. + 3+ years of project / program financial management (eg, Planning, Forecasting, Budgeting, Business Case Development, etc.) in ... Deloitte Technology-US (DT-US) PMO - Sr Project Manager As a Manager in the...a key role in leveraging leading program and project management practices and methodologies to enable world-class delivery of… more