- Sharecare (Lansing, MI)
- …and affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered… more
- CVS Health (Lansing, MI)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Highmark Health (Lansing, MI)
- …**EXPERIENCE** **Required** + 7 years in any combination of clinical, case/utilization management and/or disease /condition management experience, or provider ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a… more
- CVS Health (Lansing, MI)
- …Configures the case management system to organize cases dealing with disease management and utilization review; tracks patient progress and manages specific ... of the patient. + Applies in-depth knowledge of case management and nursing practices to organize patient files in...transition from the hospital to home. + Develops resource management to help case managers optimize healthcare with community… more
- Humana (Lansing, MI)
- … Management . Coordinate cases with and refer to tier III Care Manager and Disease Management Programs as appropriate. **Use your skills to make an impact** ... of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following… more
- Merck (Lansing, MI)
- …including cardiologists and other approved specialty physicians, physician assistants, nurse practitioners, nurses, pharmacists, and office managers. You will ... customer needs with company products according to product labeling. + Provide management with regular updates on customer needs, marketplace dynamics, and progress… more
- Humana (Lansing, MI)
- …+ Experience with initiating service plans for members. + Experience with disease management , health promotion, coaching and wellness. + Health Plan ... Oversee the External Oversight Team (Quality Assurance professionals and Care Management Support Assistants) staff and monitors compliance with Home and… more
- Centene Corporation (Lansing, MI)
- …flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high ... needs + Identifies problems/barriers to care and provide appropriate care management interventions + Coordinates as appropriate between the member and/or… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …as a clinical expert on the Digital Products and the science of the disease state (eg. MDD) delivering impactful education on mechanism of action, clinical trial ... awareness, adoption, and measurable impact across your territory. + **Strategic Account Management ** : Serve as a trusted advisor, understanding customer needs and… more