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Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.

YEAR

Humana Inc

Home Health Clinical Manager

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FULL_TIME

OTHER

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. *********Minimum Requirements: - High School Degree and 2+ years clinical experience required; Associate's Degree preferred or equivalent combination of education or experience.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Review Lead Coordinator, LPN/RN

equestftpin

MANAGER IS VERY STRICT ON THE RECENT INPATIENT CASE MANAGEMENT EXPERIENCE - TELEPHONIC, UTILIZATION REVIEW, PSYCHOLOGICAL EXPERIENCE DOES NOT APPLY TO THIS REQUIREMENT. REQUIRED: 5+ years case management experience with 2+ years recent acute inpatient case management experience .

TEEMA

Case Manager

WorkWolf

This position is responsible for participating in and leading quality improvement activities based on quality data and evidence-based practice; monitoring the utilization of all professional home health services as provided by MVN/MVC clinical staff; keeping upper management, supervisors and staff informed regarding utilization patterns within the department; and collaborating with the staff educator to ensure staff competency related to clinical practice and documentation requirements. Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.

University of Michigan

Quality Improvement Coordinator

The ideal candidate is an experienced Registered Nurse leader with a strong background in Emergency Department, emergency services, trauma, or acute care nursing leadership and a demonstrated ability to lead complex clinical operations. This leader will partner closely with physicians, advanced practice providers, nursing leadership, and multidisciplinary teams to improve patient outcomes, operational efficiency, employee engagement, and the overall patient experience.

<p>Wheeler Staffing Partners' (WSP) has outstanding client relationships providing consultants with access to some of the most desirable employment opportunities across the nation. Our experience, the solutions we provide, our business processes, and partnerships with our consultants and clients has made the company one of the most sought after placement firms for job seekers and companies of all sizes. WSP, provides all candidates with career opportunities, skill assessments, and interview consulting services and our clients with the candidates that meet their culture and skill set. From our Executive Retained Search Teams, Direct Hire and Contract Staffing Professionals to our RPO Service offerings, we create models to deliver a world-class service, with a sense of urgency and professionalism at the best price. Let us put our expertise and services to work for you!</p>

Wheeler Staffing Partners

Nursing Director - Emergency Department

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ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

ExamWorks Group Inc

Clinical Quality Assurance Coordinator (32949)

In collaboration with the perioperative team and physicians, plans, organizes, and directs the specialty service under their charge to ensure case readiness• Serve as the primary surgeon interface for the designated surgical specialty(s)• Actively communicates with physicians to plan for resource needs and utilization• Maintain awareness of upcoming surgical cases and arranges adequate resources/resolves conflicts in advance of the surgery• Create and maintain surgical procedure / surgeon preference cards within the specialty to provide a comprehensive description of equipment instrument, room set up, medication and patient care needs necessary for the intraoperative care of the patient undergoing the identified surgery. Quality and Safety• Demonstrate knowledge and implements patient safety and quality improvements for the defined surgical specialty• Foster a collaborative practice to promote safety, quality and problem solving• Maintains an environment to assure surgical specialty readiness for all accreditation and regulatory surveys• Exhibits an open mind to listen, challenge, and influence patient safety and clinical outcomes.

Children's Hospital

Operating Room Clinical Coordinator

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The NP/PA carries out physician orders and maintains the continuum of care through the coordination and integration of all phases of patient care, guided by progress notes, consults, care plans, critical pathways, managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. Clinical care for Urology patients: Formulates and implements medical and nursing plans of care for acute management of all Urology (inpatient, emergency department, and consult) patients with collaborating physicians.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. It is a family of 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, the Trinity Health system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations and many other health and well-being services. In fiscal year 2023, the Livonia, Michigan-based health system invested $1.5 billion in its communities in the form of charity care and other community benefit programs.

Trinity Health

NP/PA Surgery - Urology

Collaborative role with other disciplines: Acts as the daily central liaison to all health care team members for patient care concerns Coordinates speech, physical and occupational therapies Participates in patient care conferences and peer quality review with collaborating physician, consulting medical teams, and other health care disciplines. The NP/PA carries out physician orders and maintains the continuum of care through the coordination and integration of all phases of patient care, guided by progress notes, consults, care plans, critical pathways, managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes.

NP/PA - CTVS/General Robotic

NP/PA General/Ortho Livingston Surgery

General Purpose of Job: To manage cases in collaboration with the health care team by evaluating appropriateness for admission to Sparrow Specialty Hospital, assessing, planning, coordinating, monitoring and evaluating the options and services required to meet an individual's psychosocial, resource deficit and continuing health care needs in the most financially responsible manner while in Sparrow Specialty Hospital. Performs admission and continued stay review, applies SI/IS/DS criteria, determines action on cases, communicates with physicians and discharge planning case managers as to appropriate length of stay, documents the rationale for case determinations, determines the next review date.

University of Michigan Health-Sparrow

SSH-CASE MANAGER-RN BSN

Three (3) or more years of experience in one or more of the following areas: healthcare, medical malpractice claims, patient safety, healthcare risk management, quality improvement, clinical review, clinical data analysis, claims analytics, healthcare data analysis, or healthcare data science. We offer competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program.

The Doctors Company

Patient Safety Specialist

ADAPTED_NOW

Manages and coordinates appropriate discharge plans to ensure LOS appropriate for care needs this includes ensuring and facilitating the achievement of quality, clinical and financial outcomes, negotiating, procuring, and coordinating services and resources needed by the patient/family, and intervening at key points for individual patients. Evaluates patient need for hospital and extended care resources (Medical Social Work, Pastoral Care, rehabilitation care, long term care, home health care, and community resources) and when appropriate, makes referrals.

Bronson Healthcare

Bronson Healthcare Jobs

Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification.

Molina Healthcare Inc

Medical Director (Based in MI)

Bronson Battle Creek Hospital

Case Manager - Bronson Battle Creek Sign On Bonus! Up to 10K!

In this capacity, will accomplish the mission and vision of McLaren Greater Lansing through effective utilization of all resources, constantly striving to increase quality patient care and maintain a high degree of patient satisfaction. Investigates and identifies department capital needs, presents formal request and justification to Director or Vice President of Nursing/CNO.

McLaren Health Care Corp

Manager Patient Care Services Cheboygan ED

In this capacity, will accomplish the mission and vision of McLaren Lapeer through effective utilization of all resources, constantly striving to increase quality patient care and maintain a high degree of patient satisfaction. Investigates and identifies department capital needs, presents formal request and justification to Director or Vice President of Nursing/CNO.

Manager Patient Care Services - Surgical Services

Participates with other members of the executive team in developing, implementing and evaluating Hospital policies and programs related to the determination and allocation of financial, human, material, and information resources. Ensures the prudent utilization of all cost item resource used by nursing while assuring patient safety and adequate allocation for the provision of nursing care.

Vice President Patient Care Services Chief Nursing Officer

Whether it's securing transportation, connecting a family to housing or food resources, arranging post-acute care, or partnering with community organizations, the work you do helps remove barriers and gives patients a stronger chance at long-term wellness. Our Case Managers support patients across a diverse range of specialties, including trauma, ICU, oncology, transplant, stroke, orthopedics, behavioral health, mother-baby, and hospice care offering endless opportunities to learn, grow, and make an impact.

Utilization Management Nurse Jobs in Michigan

Home Health Clinical Manager Humana Inc

Clinical Review Lead Coordinator, LPN/RN Maximus

Case Manager TEEMA

Quality Improvement Coordinator University of Michigan

Nursing Director - Emergency Department Wheeler Staffing Partners

Clinical Quality Assurance Coordinator (32949) ExamWorks Group Inc

Operating Room Clinical Coordinator Children's Hospital

NP/PA Surgery - Urology Trinity Health

NP/PA - CTVS/General Robotic Trinity Health

NP/PA General/Ortho Livingston Surgery Trinity Health

SSH-CASE MANAGER-RN BSN University of Michigan Health-Sparrow

Patient Safety Specialist The Doctors Company

Case Manager Bronson Healthcare

Medical Director (Based in MI) Molina Healthcare Inc

Case Manager Bronson Battle Creek Hospital

Case Manager - Bronson Battle Creek Sign On Bonus! Up to 10K! Bronson Battle Creek Hospital

Manager Patient Care Services Cheboygan ED McLaren Health Care Corp

Manager Patient Care Services - Surgical Services McLaren Health Care Corp

Vice President Patient Care Services Chief Nursing Officer McLaren Health Care Corp

Case Manager-Social Worker AFTERNOONS Henry Ford Hospital

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