- 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
- University of Michigan (Ann Arbor, MI)
- Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary** The Clinical Denials Prevention & Appeals Specialist role is entirely remote. The ... Clinical Denials Prevention & Appeals Specialist plays a critical role in optimizing the revenue...performing high-level, complex primary and secondary clinical validation denial case reviews to obtain and scrutinize denials to identify… 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
- Sedgwick (Detroit, MI)
- …** Education & Licensing** Bachelor's degree or equivalent preferred. RN or LPN required. Current license, registration and/or professional designations as ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and… more
- Molina Healthcare (Ann Arbor, 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
- Prime Healthcare (Garden City, MI)
- …personality traits to facilitate ongoing physician communication. 12. ECFMG Certificate or RN license preferred. 13. Prior Case Management Experience preferred. ... facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country. The residency… more