- Tenet Healthcare (Detroit, MI)
- …goals and objectives that support overall strategic plans of the Case Management and Utilization Review strategy · Lead Group hospital Case Management and ... Group Director of Case Management -... Group Director of Case Management - 2506001359 Description :...mix, complex Case Management, and centralized utilization review · Participate in new hospital Director … more
- Molina Healthcare (Sterling Heights, MI)
- …or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline ... **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance...and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies… more
- Molina Healthcare (Sterling Heights, MI)
- …Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical ... Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for mental health… more
- Henry Ford Health System (Troy, MI)
- …Payors and facilitate resolution of contracting and operational issues, ie billing, utilization review , credentialing site visits, notification of site closures ... Reporting to Director or Manager, assist in the development of...provisions and rates on behalf of HFHS Hospitals, Medical Group , Behavioral Health Services and other business units. 1.… more
- Henry Ford Health System (Detroit, MI)
- …between HFHS and Payors on contracting and operational issues, ie billing, utilization review , credentialing site visits, notification of site closures or ... its business units. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting, works directly with Payors to negotiate… more