- Trinity Health (Howell, MI)
- …time **Shift:** Day Shift **Description:** **POSITION PORPOSE** + The Registered Nurse Case Manager assumes overall accountability for patients' discharge plans ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused… more
- AmeriHealth Caritas (Flint, MI)
- …complete, and accurate documentation of Member interactions in;ACFC electronic care management platforms where applicable. + Monitor appropriate utilization and ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- Evolent (Lansing, MI)
- …for operational performance of physician, nursing, and shared services staff in the utilization management value chain + Owns clinical rationale for ... point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work...utilization management decisions made by all clinical staff + Ensures… more
- Presbyterian Villages of Michigan (Flint, MI)
- …and analyze facility activities and data to aid planning and cash and risk management and to improve service utilization . 5. Plan, implement and administer ... and is responsible for the coordination, direction, training, and management of staff, ensuring the needs, safety and comfort...in performing resident care services as needed. ALicensed Practical Nurse (LPN) or Registered Nurse (RN) is… more
- Centene Corporation (Lansing, MI)
- …utilization data, KPI review and monitoring of behavioral health utilization management metrics. Participates with development of corrective action plans ... health related clinical training for associates and providers. + Works with utilization , case and disease management teams to implement and operationalize… more
- Michigan State University (East Lansing, MI)
- …metrics; enable a culture of scholarly dissemination of simulation works. + Review , evaluate and provide recommendations on skill media to ensure currency of ... etc. + Develop staffing patterns and schedules for optimal simulation asset utilization . + Maintain expertise in contemporary simulation and virtual reality best… more