- Elevance Health (Dearborn, MI)
- …deliver member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director ... preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around geographic regions and… more
- Henry Ford Health System (Clinton Township, MI)
- GENERAL SUMMARY: Under the direction of VP Operations , CNO, the Regional Director of Case Management is responsible for the development, implementation, and/or ... of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. . Knowledge… more
- Tenet Healthcare (Detroit, MI)
- …standards for case management scope of services including: Provides assistance to the Director of Case Management in the management of the department, but not ... to physicians, patients, families and caregivers POSITION SPECIFIC RESPONSIBILITIES: Department Operations Oversees an adequate number and skill mix of staff over… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the hospitals, ... all payor relationships including direct to employer relationships and commercial, Medicare Advantage, Medicaid HMO, and other governmental payors. 4. Routinely… more
- Gentiva (Southfield, MI)
- …Care Manager** to join our team. You will report directly to the Executive Director or Administrator. You will be responsible for the day to day operations ... manner + Managing the site in the absence of the Executive Director , Administrator. + Managing and overseeing clinical and administrative and recordkeeping functions… more
- Behavioral Center of Michigan (Warren, MI)
- …implementation and reporting of complex clinical data and supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the ... tasks requested by the UR Manager, CEO or Medical Director to meet the needs of the Center. Perform...knowledge + Regulations as set by the Centers for Medicare /Medicaid Services + Skill in operating a personal computer… more