- Select Medical (Pontiac, MI)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical… more
- Trinity Health (Livonia, MI)
- …**Description:** **An Opportunity to Join our Remarkable Care Team as a** ** Case Manager ** **in the Case Management Department awaits YOU ** **_Trinity ... outcomes, patient safety, financial performance and efficiency. **SUMMARY:** A Case Manager is required to function at...of Michigan. Progression toward or a completed certification in case management required. Current Basic Life Support… more
- Tenet Healthcare (Commerce Township, MI)
- RN Case Manager - Clinical Res Mgmt - 2506004213 Description : **Up to $10,000 Sign on Bonus, based on relevant experience** Are you a results-driven leader ... is determined by employment status Job Summary The RN Case Manager is responsible to facilitate care...prevent avoidable readmissions. This position integrates national standards for case management scope of services including: *… more
- Trinity Health (Howell, MI)
- …demonstrated clinical expertise or equivalent experience and expertise as a Case Manager . + Certification: Case Management is desirable. + Individuals ... time **Shift:** Day Shift **Description:** **POSITION PURPOSE** + The Registered Nurse Case Manager assumes overall accountability for patients' discharge plans… more
- Tenet Healthcare (Commerce Township, 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 Contingent Days - 2506002919...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
- McLaren Health Care (Pontiac, MI)
- …eligibility **_and_** maintenance of continuing education requirements _Preferred:_ + Certification in Case Management Certification (ACM or CCM) + Three years ... within 24 hours of admission. 2. Receives RN Care Manager referrals to social work based on identified Social...of insurance benefits and coverage guidelines to maximize appropriate utilization of resources. 13. Documents in the EMR: assessment,… more
- Emerson (Novi, MI)
- …including developing and maintaining operational health metrics and driving adoption of case management tools. + Ensure payroll processes align with federal, ... The Senior Payroll Manager for North America supervises payroll and time/attendance...and coaching to a multi-country staff to ensure effective utilization of resources and timely and accurate delivery of… more
- Molina Healthcare (Sterling Heights, MI)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
- Molina Healthcare (Sterling Heights, MI)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- Molina Healthcare (Sterling Heights, MI)
- …active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services and… more
- Molina Healthcare (Sterling Heights, MI)
- …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS)… more
- Molina Healthcare (Sterling Heights, MI)
- …Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint… more
- Molina Healthcare (Sterling Heights, MI)
- … (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... least 2 years as a medical director in managed care setting supporting utilization management /quality management initiatives, or equivalent combination of… more