- Molina Healthcare (Detroit, MI)
- …health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Tenet Healthcare (Detroit, MI)
- RN Case Manager Clinical Resource FT... management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan. 4. ... Rosa Parks Geriatric Center of Excellence. Job Description: The RN Case Manager is responsible...Tenet policy. Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy. Identifies and reports variances… more
- Henry Ford Health System (Clinton Township, MI)
- …the ability to successfully advocate for patients and their families. CERTIFICATIONS/LICENSURES REQUIRED: Registered Nurse ( RN ) or a Licensed Social Worker ... CONTINGENT, DAYS GENERAL SUMMARY: The Case Manager is a member of...preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management… more
- CVS Health (Detroit, MI)
- …discharge planning and/or home health care coordination experience + Certified Case Manager + Additional national professional certification (CRC, CDMS, ... models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social… more
- Tenet Healthcare (Detroit, MI)
- …acute or behavioral health case management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills ... RN Utilization Review FT Days - 2406002204 Description...that may require negotiation with a payor on a case -by- case basis. This position integrates national standards… more
- McLaren Health Care (Detroit, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the coordination of patient admission and continued stay ... Functions and Responsibilities as Assigned:** 1. Collaborates with the UM RN to determine the appropriate hospital setting (inpatient vs. observation) based… more