- Henry Ford Health System (Detroit, MI)
- …direction and consultation to Case Managers, clerical staff, and departmental management. EDUCATION /EXPERIENCE REQUIRED: + Registered Nurse ( RN ) with ... GENERAL SUMMARY: Under the direction of the department director, the Education Specialist assesses, designs, and evaluates cost-effective, customer-oriented,… more
- Humana (Detroit, MI)
- …2** **years experience in health care and/or case management** + **Active Michigan Registered Nurse ( RN ) license with no disciplinary action** + **Must ... skills to make an impact** **Required Qualifications** + ** Registered Nurse , Nurse Practitioner, or Clinical Nurse Specialist with** **a minimum of… more
- Option Care Health (Detroit, MI)
- …performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse ( RN ) or licensed Pharmacist in the state ... and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to… more
- Molina Healthcare (Sterling Heights, MI)
- …coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional… more
- Henry Ford Health System (Troy, MI)
- … education , process improvements, patient satisfaction). The Central Authorization Specialist is accountable for a designated caseload and plans effectively in ... The purpose of the Central Authorization Specialist position is to centrally facilitate the successful...quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Point of Use Specialist will have overall ownership and accountability for supporting the procedural case cart picking function and proper ... procedures/services assigned. The focus for this position will be to conduct the case cart picking function for procedural supplies in the Operating Room inventory… more
- Sedgwick (Detroit, MI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE OF THE ROLE:** To enhance the ADA process for ... career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. + Access diverse… more
- Sedgwick (Detroit, MI)
- …**QUALIFICATIONS** ** Education & Licensing** Bachelor's degree or equivalent preferred. RN , LVN, CRC, COHN CVD, LPC and/or LCSW preferred. Current license, ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and… more
- Molina Healthcare (Sterling Heights, MI)
- …Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse ( RN ), Licensed practical ... of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position ensures adherence to state… more
- Molina Healthcare (Sterling Heights, MI)
- …behavioral health, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed… more
- Molina Healthcare (Sterling Heights, MI)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. + Licensed Vocational Nurse (LVN) or… more
- Elevance Health (Dearborn, MI)
- …designated group. + Ask questions and listen to member in order to assess case and determine needs. + Give referral and/or make referral appointment as circumstances ... + Master's degree in social work, psychology, counseling or a Bachelor's level RN .Licenses: Current, valid and unrestricted license in the State of Michigan in a… more