- 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
- 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
- Gentiva (Midland, MI)
- …field nurse RN admissions, RN home visits, home health intake specialist , start of care registered nurse , skilled nursing admissions RN , ... Steps. Transform the Home Health Experience.** Are you a Registered Nurse ( RN ) who thrives..., RN assessment home health, Medicare SOC nurse , home health case opening RN… more
- Deloitte (Detroit, MI)
- …degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) ... as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN… more
- Molina Healthcare (Grand Rapids, MI)
- …coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted in ... will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The candidate must have strong… more
- Datavant (Lansing, MI)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Hospice of Michigan (Kalamazoo, MI)
- …every time, 100% of the time. Qualifications: + Bachelor of Science in Nursing preferred. Registered Nurse ( RN ) licensure in the State of Michigan required. ... the mission of NorthStar Care Community. The Clinical Quality Nurse Specialist is responsible, through monitoring and...to five (5) years of demonstrated experience in Hospice RN case management required. + Advanced knowledge… 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
- GE HealthCare (MI)
- **Job Description Summary** As the Clinical Applications Specialist (CAS), you will deliver clinical and product platform knowledge and expertise by providing world ... class education and training consultation within a specific modality or...as outlined in the "Priorities" of a Clinical Applications Specialist . + Act as a subject matter expert and… more
- Philips (Detroit, MI)
- Clinical Solution Specialist (Patient Monitoring) - Detroit MI (Toledo, OH, MI, IN, KY) In this role, you have the opportunity to impact the use, adoption and ... of patient monitoring solutions at numerous Philips customer sites. As a Clinical Solutions Specialist with Philips Healthcare, no two days are the same. One day you… more
- Sedgwick (Lansing, MI)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that ... requirement, and/or complexity. Consults with providers and employees by providing case direction and ensures medical information substantiates the need for employee… more
- University of Michigan (Ann Arbor, MI)
- …Medicare Advantage, Varis, Medicaid and other various commercial audits. The Appeals Specialist will communicate and provide education , with information gained ... Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and audit practices for… more
- Elevance Health (Dearborn, MI)
- …designated group. + Ask questions and listen to member in order to assess case and determine needs. + Give referral and/or make referral appointment as circumstances ... + Master's degree in social work, psychology, counseling or a Bachelor's level RN .Licenses: Current, valid and unrestricted license in the State of Michigan in a… more