- Tenet Healthcare (Detroit, MI)
- Director - Case Management - 2506004210 Description : Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your ... employment status Summary Description Oversees hospital utilization performance improvement and operational management of the site Case Management Department… more
- Select Medical (Pontiac, MI)
- …, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as ... ICU, step-down, med surg, vents)** + Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for… more
- Sevita (Detroit, MI)
- …for infants, children, adolescents, Military Service Members and Veterans. **Operations Management Executive Director - State of MI** **Compensation: ... and leadership skills to a team-based workplace that puts people first. As Executive Director of Operations Management , you will be responsible for operational … more
- Henry Ford Health System (Detroit, MI)
- …customer-oriented, educational programs that are aimed at improving the quality of case management . Provides direction and consultation to Case ... GENERAL SUMMARY: Under the direction of the department director , the Education Specialist assesses, designs, and evaluates...Work. + Five (5) years of clinical experience. + Case management experience required, including experience in… more
- Integra Partners (Troy, MI)
- …all federally funded programs; no OIG sanctions + 5+ years of utilization management experience, including complex case review + Prior leadership experience ... The Senior Medical Director (Senior MD) serves as the clinical and...as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is a full-time,… more
- University of Michigan (Ann Arbor, MI)
- … Director /Manager/Supervisor Healthcare Admin & Support Nursing- All Nursing Nursing- Critical Care Nursing- Nursing Management Nursing- Pediatrics Apply Now ... CLINICAL NURSING DIRECTOR (CS Mott Children's Hospital: 10-West Pediatric Cardiothoracic...qualifications consistent with the respective unit objectives and patient case mix. + Interview and select qualified personnel. +… more
- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's ... Utilization Management (UM) operations. This full-time, salaried role functions within...timelines, clinical accuracy standards, and productivity expectations. The Medical Director ensures determinations are made in accordance with Medicare… more
- Oshkosh Corporation (New Hudson, MI)
- …controls, and performance management for the segment. Direct reports include the Director of Finance - Pratt Miller and the Controllers for each of the three ... help our customers bring their high-quality products to market faster.** The Senior Director of Finance will serve as a key strategic and financial leader for… more
- BrightSpring Health Services (Dearborn, MI)
- …to clinical policies, procedures, and compliance standards, including HIPAA and case management guidelines. + Conduct audits, monitor documentation, and ... Analysis (ABA) principles and techniques. + Familiarity with clinical operations, case management , and compliance standards (eg, HIPAA, recipient rights).… more
- R1 RCM (Detroit, MI)
- …Collaborate with senior leaders and other departments, such as coding, clinical documentation, case management and patient access, to enhance the quality and ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Denials Director ** , you will act as a strategic leader dedicated to… more
- Huron Consulting Group (Detroit, MI)
- …roles * Liquidity management and business process improvement * Bankruptcy Case Management and Emergence * Business Assessments The Correlation between ... & Turnaround team provides comprehensive solutions to companies and their management teams, lenders, other creditors and stakeholders facing challenges driven by… more
- Molina Healthcare (Ann Arbor, MI)
- … Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management /quality management… more
- Molina Healthcare (Ann Arbor, MI)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- Henry Ford Health System (Detroit, MI)
- As the Director of Payer Audit - Revenue Cycle, you'll lead a high-performing, system-wide audit team and set the strategy for pre- and post-payment audit processes. ... and results, this is your opportunity to make a lasting impact. The System Director of Payer Audit provides strategic and operational leadership for all payer audit… more
- Guidehouse (Detroit, MI)
- …independent view of North American wholesale power markets in its bi-annual Reference Case . Responsibilities of an Associate Director include, but are not ... solutions, strategies, and analysis to clients. + Supporting the day-to-day management of client relationships. + Developing and using analytical models,… more
- Envista Holdings Corporation (Romulus, MI)
- …focus areas like Innovation, Growth, and Lean. **JOB SUMMARY** : The **EBSO Director ** is responsible for working with our Global Team of EBS Fundamental and ... their Policy Deployment (PD) and Key Performance Indicator (KPI) targets. The EBSO Director helps to create EBS Sustainability both broadly across Envista and in a… more
- Bayer (Detroit, MI)
- …to make a real difference, there's only one choice.** **Cardiorenal Associate Director Regional Marketing - Detroit** **PURPOSE** As part of the field-based Product ... incumbent will be responsible for activities across five key areas, in each case , acting as a champion to deliver brand communication strategy. 1. Strategic Thought… more
- S&P Global (Southfield, MI)
- **About the Role:** **Grade Level (for internal use):** 13 **The** **Role:** Director , OEM Incentives and Pricing - Mobility **The Team:** The Sales and Marketing ... application of our Market Analytics product suite by presenting analysis and use case examples to improve sales and incentive planning performance for our customers,… more
- Molina Healthcare (Ann Arbor, MI)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- UWorld, LLC (Ann Arbor, MI)
- …with colleagues to meet individual and team goals + Maintains contact management system (CMS) records, including updated contact information, event tracking and ... networking. + Reliable analytical and problem-solving skills: examine issues on a case -by- case basis and make quick, accurate decisions. + Self-Starter: must… more