- CVS Health (Southfield, MI)
- …We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...license is part of the compact. + Certified Case Manager is preferred. + Excellent analytical and problem-solving skills… more
- The ALS Association (Detroit, MI)
- …centers, and fostering government partnerships, The Association builds hope and enhances quality of life while aggressively searching for new treatments and a cure. ... POSITION SUMMARY: The Manager , Care Services, is responsible for developing professional and...will be responsible for the management of care services program which may include but not limited to ensuring… more
- Henry Ford Health System (Wyandotte, MI)
- …to meet an individual's and family's health care needs. The goals of the case manager are to promote patient safety, quality of care and cost-effective outcomes. ... CONTINGENT, MIDNIGHTS GENERAL SUMMARY: The Case Manager is a member of the hospital or...guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. Knowledge of medical… more
- AmeriHealth Caritas (Southfield, MI)
- **Behavioral Health Care Manager , MSN/LCSW/LMSW** Location: Southfield, MI Primary Job Function: Behavioral Health ID**: 34508 **Job Brief** Graduate degree from an ... accredited educational program in Social Work, Clinical Counseling Psychology, or Nursing....about us at www.amerihealthcaritas.com. **Responsibilities:** The BH Clinical Care Manager (CCM) is a core participant of the collaborative… more
- City of Detroit (Detroit, MI)
- RN Case Manager Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4557652) Apply RN Case Manager Salary $49,928.00 - $75,771.00 Annually ... care providers, primary care, other health care providers, and Medicaid health plans to address case management and care...and provides general assistance for families in the CSCHS program to assure children with special health care needs… more
- Molina Healthcare (Detroit, MI)
- …have a current active unrestricted RN license in the state of MI._ _Case Manager RN will work in remote setting supporting our Medicare/ Medicaid population who ... have recently been admitted into Hosptial. The Case Manager will support our members to ensure successful transition from inpatient to outpatient. Excellent computer… more
- Molina Healthcare (Troy, MI)
- **JOB DESCRIPTION** We are looking Case Manager who must reside in MI and will work in remote setting supporting Medicaid Michigan Population. We are looking for ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Henry Ford Health System (Wyandotte, MI)
- 36 HOUR MIDNIGHTS GENERAL SUMMARY: The Integrated case Manager for Population Health is an interdependent member of the patient-centered care team or treatment team ... care needs though communication and available resources to promote patient safety, quality of care and cost effective outcomes. Addresses the needs of patients… more
- Henry Ford Health System (Troy, MI)
- …team meetings, with some remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered care team or treatment team ... care needs though communication and available resources to promote patient safety, quality of care and cost-effective outcomes. Addresses the needs of patients who… more
- Molina Healthcare (Detroit, MI)
- …be licensed for the state of Michigan.** This position will support our MMP ( Medicaid Medicare Population). This position will have a case load and manage members ... enrolled in this program . We are looking for licensed social workers who...to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based… more
- Gentiva (Southfield, MI)
- …operations of your assigned hospice site, administering the clinical aspects of the hospice program and for ensuring the provision or quality of care to ... lives every day. **Overview** We're looking for a **RN,** **Senior Patient Care Manager ** to join our team. You will report directly to the Executive Director… more
- Molina Healthcare (Detroit, MI)
- …RN license in the state of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of the Personal Care team. This position will ... a case load and manage members enrolled in this program . We are looking for Registered Nurses who have...to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based… more
- Elevance Health (Dearborn, MI)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Director I Medicare Operations** ... function operations teams on Tier I contract with primary responsibility for Program Management and/or Medicare Integrity Operations. **How you will make an… more
- Henry Ford Health System (Troy, MI)
- Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity Senior Specialist is responsible ... degree in nursing (BSN) or RN, business administration (w/ quality /operations improvement emphasis), healthcare administration (w/ quality /operations improvement… more
- Elevance Health (Dearborn, MI)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Elevance Health (Dearborn, MI)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Area Agency On Aging 1-b (Southfield, MI)
- …and enter results in quality follow-up forms. Follow up with Resource Center Manager or Team Leader for any reported quality issues, and provide information, ... set by ACLS and AIRS, the RCC will complete quality follow up calls to meet programmatic requirements and...and referral to callers, answer general inquiries, triage clinical program intakes to Clinical Screeners, and participant calls to… more
- Elevance Health (Dearborn, MI)
- …in and oversee contract compliance management; assess and report on program /process effectiveness; creates policies, procedures and tools needed to operate daily ... function of program ; manage/oversee/influence resources impacting projects or programs from matrixed organizations under different leadership. + Lead privacy… more
- Corewell Health (Farmington Hills, MI)
- …motivated and reach their goals. Our Dementia Care floor is a 60 bed Medicare/ Medicaid /Dementia unit. We provide care to residents with a variety of diagnoses. The ... Acts as a team member in the delivery of quality , direct patient care. Performs basic skills per department...direct patient care under the direction of the Unit Manager or Licensed Nurse, consistent with policies and procedures… more