- AmeriHealth Caritas (Detroit, MI)
- …care coordination for Medicare beneficiaries with complex medical, behavioral health, Long - Term Services & Supports (LTSS), and psychosocial needs. This ... roles serving individuals with chronic conditions or disabilities. + Strong understanding of Medicare -Medicaid Plan Long - Term Services and Supports (MMP… more
- Corewell Health (Farmington Hills, MI)
- …professional growth and personal satisfaction. Our Chronic Care floor is a 60 bed Medicare /Rehabilitation and long - term care unit and is a great place ... the unit Our sub-acute floor is a 59 bed Medicare unit that has residents with multiple clinical issues...per floor), we are able to provide care for long term care residents and post-acute rehab… more
- Corewell Health (Farmington Hills, MI)
- …professional growth and personal satisfaction. Our Chronic Care floor is a 60 bed Medicare /Rehabilitation and long - term care unit and is a great place ... the unit Our sub-acute floor is a 59 bed Medicare unit that has residents with multiple clinical issues...per floor), we are able to provide care for long term care residents and post-acute rehab… more
- Corewell Health (Dearborn, MI)
- …About the facility With 2 floors, 4 units, we are able to provide care for long term care residents and post-acute rehab patients. The first floor has 96 beds ... A Wing is a 58 bed Medicare /Medicaid unit that has residents with multiple clinical...you will be serving. We care for dementia residents, long term care and a rehab residents.… more
- Molina Healthcare (Ann Arbor, MI)
- …the following functions: utilization management, care management, care transitions, behavioral health, long - term services and supports (LTSS), and other ... the following areas: utilization management, care management, care transitions, behavioral health, long - term services and supports (LTSS), or equivalent… more
- Molina Healthcare (Ann Arbor, MI)
- …the following functions: care management, utilization management, behavioral health, care transitions, long - term services and supports (LTSS), and/or other ... the following areas: utilization management, care management, care transitions, behavioral health, long - term services and supports (LTSS), or equivalent… more
- R1 RCM (Detroit, MI)
- …with potential clients **Requirements:** + 10+ years of experience selling services surrounding Medicare reimbursement, combined with a strong/effective presence ... This scale provides unmatched operational insight to help healthcare organizations unlock greater long - term value. To learn more, visit: https://www.r1rcm.com . more
- Guidehouse (Detroit, MI)
- …+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short- Term & Long - Term Disability + Tuition Reimbursement, Personal ... Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review and timely resolution of assigned … more
- United Therapeutics (Detroit, MI)
- …Teams + Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in ... of essential things like provider engagement, specialty pharmacies, patient services offerings, and the referral process. You want to...factors. In addition, this role is eligible for our short- term and long - term incentive programs.… more
- Gentiva (Southfield, MI)
- …to MSN) + Free Continuing Education Units (CEUs) + Company-paid Life & Long - Term Disability Insurance + Voluntary Benefits (Pet, Critical Illness, Accident, LTC) ... patient outcomes. **Key Responsibilities:** + Oversee and ensure quality medical services delivered by hospice physicians across multiple locations. + Certify and… more
- Tenet Healthcare (Detroit, MI)
- …Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. ... medical necessity process for accurate and timely payment for services that may require negotiation with a payor on...open cases on the incomplete UM Census Completes the Medicare Certification Checklist on applicable admissions Discusses with the… more
- Trinity Health (Livonia, MI)
- …and vision insurance + Daily Pay + Employee Referral Reward Program + Short and long - term disability + Tuition Reimbursement + 403b + Generous paid time off + ... is responsible for gathering necessary information from referral sources, promoting Agency services , and functioning as a clinical resource and customer service … more
- Tenet Healthcare (Detroit, MI)
- …Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder C childcare, auto C home insurance. ... position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention.… more
- Tenet Healthcare (Detroit, MI)
- …Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. ... of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with… more
- Gentiva (Ann Arbor, MI)
- …state of employment. + Minimum 2 years of LPN experience in hospice, oncology, long - term care, or home health; 3-5 years preferred. + CPR certification required. ... Hospice LPN, You Will:** + Provide direct nursing care services to hospice patients, supporting both patients and their...Free Continuing Education Units (CEUs) + Company-paid Life & Long - Term Disability Insurance + Voluntary Benefits (Pet,… more
- Tenet Healthcare (Detroit, MI)
- …Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder C childcare, auto C home insurance. ... This position integrates national standards for case management scope of services including: Transition Management promoting appropriate length of stay, readmission… more
- Bausch + Lomb (Detroit, MI)
- …may depend on a variety of factors. US based employees may be eligible for short- term and/or long - term incentives. They may also be eligible to participate ... billions of potential customers across the globe. We have long been associated with many of the most significant...of Bausch + Lomb patient assistance and reimbursement support services , including but not limited to web-based provider programs… more
- CVS Health (Canton, MI)
- …proactive plan of care to address identified issues to enhance the short and long - term outcomes as well as opportunities to enhance a member's overall wellness. ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...in their homes to evaluate for appropriateness for waiver services , writing the waiver and submitting for approval. +… more
- CVS Health (Southfield, MI)
- …proactive plan of care to address identified issues to enhance the short and long - term outcomes as well as opportunities to enhance a member's overall wellness.* ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...in their homes to evaluate for appropriateness for waiver services , writing the waiver and submitting for approval. *… more
- Molina Healthcare (Ann Arbor, MI)
- …management. * Promotes integration of services for members including behavioral health, long - term services and supports (LTSS), and home and community ... Carolina and or compact license. Care Manager RN will work with Medicaid/ Medicare SC population completing assessments, care plans, educating, and connecting to… more