- Molina Healthcare (Troy, MI)
- …in the state of Michigan. **Job Summary** Responsible for internal Quality Improvement deliverables, projects and programs involving department or cross-functional ... work of external vendors. May assign, direct and monitor system analysis and program staff. These positions' primary focus is project/ program management. **Job… more
- Henry Ford Health System (Clinton Township, MI)
- …to meet an individual's and family's health care needs. The goals of the case manager are to promote patient safety, quality of care and cost-effective outcomes. ... CONTINGENT, DAYS GENERAL SUMMARY: The Case Manager is a member of the hospital or...guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. Knowledge of medical… more
- The ALS Association (Detroit, MI)
- …centers, and fostering government partnerships, The Association builds hope and enhances quality of life while aggressively searching for new treatments and a cure. ... POSITION SUMMARY: The Manager , Care Services, is responsible for developing professional and...will be responsible for the management of care services program which may include but not limited to ensuring… more
- Gentiva (Southfield, MI)
- …operations of your assigned hospice site, administering the clinical aspects of the hospice program and for ensuring the provision or quality of care to ... in people's lives every day. **Overview** We're looking for a **Senior Patient Care Manager ** to join our team. You will report directly to the Executive Director or… more
- Molina Healthcare (Detroit, MI)
- …be licensed for the state of Michigan.** This position will support our MMP ( Medicaid Medicare Population). This position will have a case load and manage members ... enrolled in this program . We are looking for licensed social workers who...to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** This position will support our MMP ( Medicaid Medicare Population) that is part of the Community Well Services team. This position will have a ... case load and manage members enrolled in this program . We are looking for Registered Nurses who have...to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based… more
- Trinity Health (Livonia, MI)
- …and the performance of standard regional revenue integrity metrics and quality . Coordinates, synchronizes and monitors the work efforts of geographically dispersed ... prevent loss in reimbursement, including but not limited to, Medicare and Medicaid web sites, Payer websites and newsletters for changes impacting charging, coding… more
- Elevance Health (Dearborn, MI)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Gentiva (Clinton Township, MI)
- …impact of the disease burden on the patient's condition, caregiver and/or family's quality of life. + Establish the plan of care, individualized for each patient, ... relationships with supportive care team (eg, Social Worker and RN Care Manager ), as applicable, and involve team (internally and externally) when patient's care… more
- Trinity Health (Farmington Hills, MI)
- …portal) and responds to customer requests with the highest level of customer quality possible: + Provides resolution to service requests when possible and refers the ... customer service inquiries. May prepare special reports as directed by the Manager to document billing and follow-up services (eg, Number of contacts, contact… more