- 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
- 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
- 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
- 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
- Ross Stores, Inc. (Southgate, MI)
- …and development for our teams\. **GENERAL PURPOSE:** The Area Loss Prevention Manager \(ALPM\) is responsible for protecting the assets of Ross Stores, Inc\. ... SPS\) and are involved in the ongoing hiring, training, development, and performance management of this team\. Periodically, ALPMs may need to support the response… more
- Ford Motor Company (Flat Rock, MI)
- …and businesses to do and be their best. **In this position ** The Manager , Employee Relations is accountable for the performance and results of the Employee ... ethical work environment. The role has limited to full management authority for staffing, performance, discipline, pay decisions, team...trends, serves as a primary point of contact for case escalation, and guides the Employee Relations team on… more
- CDM Smith (Detroit, MI)
- …managed, profit delivered, cash flow, sales contributions, on-time delivery, quality management system compliance, and individual utilization . For more ... CDM Smith currently has an exciting opportunity for a Senior Project Manager with previous experience managing municipal water services projects to join our… more
- Deloitte (Detroit, MI)
- …experience + Knowledge of Windows workstation platforms, Azure AD, Intune/Modern Management , GPO, Microsoft o365, Microsoft Endpoint Configuration Manager ... Senior Manager Desktop Architecture/Engineering (Policy, Controls, In Tune &...hardware configuration, OS platform upgrades, productivity software solutions, end-user management , client software deployment, antivirus systems, and imaging design… more
- Ford Motor Company (Dearborn, MI)
- **In this position ** The Labor Affairs - Manager , Employee Relations position ensures the resolution of employee relations issues, such as conflicts, disputes, ... and in associated negotiations with employee unions. + Develops and monitors case quality to ensure great overall experiences, develops internal reporting templates… more
- Trinity Health (Farmington Hills, MI)
- …rejection, denial and appeal activities with Regional Health Ministries (RHM) based Utilization Review/ Case Management departments; + Reviews and understands ... four (4) years of nursing experience, to include at least three (3) f utilization review/ case management , managed care or comparable patient payment… more
- Trinity Health (Livonia, MI)
- …FUNCTIONS AND RESPONSIBILITIES MAY INCLUDE 1. Provides leadership and expertise for utilization management processes. 2. Manages the DNFB list and other ... 12. Communicates to the payer patient discharge date and discharge plan. Mediates between case manager and payer to ensure a seamless transition in care and… more